Crawford, Wayne Grant
Crawford, Wayne Grant is an individual health care provider with primary practice located at 7302 S Bingham Junction Blvd , Midvale UT 84047-4804. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Crawford, Wayne Grant can be contacted via phone (801) 442-2611.Contact Information
Primary practice address
7302 S Bingham Junction Blvd
Midvale UT 84047-4804
Phone: (801) 442-2611
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | 105738-1206 | Utah |
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | 2209 | Alaska |
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | T12/22/2013 | Texas |
Profile Details
| NPI number | 1922060284 |
|---|---|
| LBN Legal business name | Crawford, Wayne Grant |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 3rd, 2006 |
| Last updated | Jan 26th, 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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