Crumbley, William Robert
Crumbley, William Robert is an individual health care provider with primary practice located at 1010 E Busch Blvd Suite 103, Tampa FL 33612-8502. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Addiction Medicine, Allopathic & Osteopathic Physicians / General Practice. Allopathic & Osteopathic Physicians / Addiction Medicine is his primary health care specialty. Crumbley, William Robert can be contacted via phone (813) 935-7987.Contact Information
Primary practice address
1010 E Busch Blvd Suite 103
Tampa FL 33612-8502
Phone: (813) 935-7987
Fax: (813) 931-5215
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Addiction Medicine | 207RA0401X | ME68820 | Florida |
| Allopathic & Osteopathic Physicians / General Practice | 208D00000X | ME68820 | Florida |
Profile Details
| NPI number | 1336345735 |
|---|---|
| LBN Legal business name | Crumbley, William Robert |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 22nd, 2007 |
| Last updated | Jul 9th, 2007 - about 18 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1336345735 | NPPES |
| Florida | Other | ME68820 | STATE LICENSE INFORMATION |
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