Crowder, Kermit P

Crowder, Kermit P is an individual health care provider with primary practice located at 2041 Georgia Ave Nw , Washington DC 20060-0001. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Crowder, Kermit P can be contacted via phone (202) 865-1571.

Contact Information

Primary practice address
2041 Georgia Ave Nw Washington DC 20060-0001
Phone: (202) 865-1571
Fax: (202) 865-3285
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X MD33665 District of Columbia

Profile Details

NPI number 1548298110
LBN Legal business name Crowder, Kermit P
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 30th, 2006
Last updated Jul 31st, 2019 - about 7 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 1548298110 NPPES
Virginia MEDICAID 010176425
Virginia MEDICAID 408040800
Virginia MEDICAID 036830100

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