Crenshaw, Steven M

Crenshaw, Steven M is an individual health care provider with primary practice located at 1325 San Marco Blvd Ste 200 , Jacksonville FL 32207-8566. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Sports Medicine is his primary health care specialty. Crenshaw, Steven M can be contacted via phone (904) 346-3465.

Contact Information

Primary practice address
1325 San Marco Blvd Ste 200 Jacksonville FL 32207-8566
Phone: (904) 346-3465
Fax: (904) 399-1537
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X ME73375 Florida
Allopathic & Osteopathic Physicians / Sports Medicine 207XX0005X ME73375 Florida

Profile Details

NPI number 1447252655
LBN Legal business name Crenshaw, Steven M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 1st, 2005
Last updated Mar 25th, 2021 - about 5 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 1447252655 NPPES
Florida Other 200029233 RAILROAD MEDICARE
Florida MEDICAID 253542400 RAILROAD MEDICARE

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