Crawford, Jerry D

Crawford, Jerry D is an individual health care provider with primary practice located at 933 Red Apple Rd Ste C, Wenatchee WA 98801-3370. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Crawford, Jerry D can be contacted via phone (509) 663-8767.

Contact Information

Primary practice address
933 Red Apple Rd Ste C Wenatchee WA 98801-3370
Fax: (509) 663-1421
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 23776 Washington

Profile Details

NPI number 1457312266
LBN Legal business name Crawford, Jerry D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 31st, 2006
Last updated Dec 27th, 2017 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1457312266 NPPES
Washington MEDICAID 23776

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