Crowell, Bradford Allan

Crowell, Bradford Allan is an individual health care provider with primary practice located at 901 Marshall St Ste 418-A , Redwood City CA 94063-2026. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Crowell, Bradford Allan can be contacted via phone (415) 636-0558.

Contact Information

Primary practice address
901 Marshall St Ste 418-A Redwood City CA 94063-2026
Phone: (415) 636-0558
Fax: (415) 299-2655
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X A47702 California

Profile Details

NPI number 1457439077
LBN Legal business name Crowell, Bradford Allan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 1st, 2006
Last updated Dec 13th, 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 1457439077 NPPES
California MEDICAID 00A477020

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