Crowell, Ronald

Crowell, Ronald is an individual health care provider with primary practice located at 781 Black Oak Dr Suite 102, Medford OR 97504-9502. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Crowell, Ronald can be contacted via phone (541) 789-4236.

Contact Information

Primary practice address
781 Black Oak Dr Suite 102 Medford OR 97504-9502
Fax: (541) 789-5965
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X MD25142 Oregon

Profile Details

NPI number 1689705220
LBN Legal business name Crowell, Ronald
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 7th, 2007
Last updated Jul 8th, 2007 - about 19 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 1689705220 NPPES
Oregon MEDICAID 277917

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