George, Tobias John Crandall

George, Tobias John Crandall is an individual health care provider with primary practice located at 777 Bannock St , Denver CO 80204-4507. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Acute Care, which is considered as his primary health care specialty. George, Tobias John Crandall can be contacted via phone (303) 602-1460.

Contact Information

Primary practice address
777 Bannock St Denver CO 80204-4507
Phone: (303) 602-1460
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X 990306 Colorado

Profile Details

NPI number 1871865972
LBN Legal business name George, Tobias John Crandall
Credentials ACNP
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 3rd, 2012
Last updated Apr 11th, 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 1871865972 NPPES
Colorado MEDICAID 60288566

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