Crenshaw, Roger T

Crenshaw, Roger T is an sole proprietor health care provider with primary practice located at 1325 Pacific Highway Suite 2806, San Diego CA 92101-2580. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychoanalyst, Other Service Providers / Specialist. Other Service Providers / Specialist is his primary health care specialty. Crenshaw, Roger T can be contacted via phone (619) 564-8494.

Contact Information

Primary practice address
1325 Pacific Highway Suite 2806 San Diego CA 92101-2580
Phone: (619) 564-8494
Fax: (619) 564-8783
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychoanalyst 102L00000X AFE24041 California
Other Service Providers / Specialist 174400000X AFE24041 California

Profile Details

NPI number 1811290257
LBN Legal business name Crenshaw, Roger T
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 7th, 2010
Last updated Dec 7th, 2010 - about 16 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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