Teresa L Crandell in Okmulgee - Contractor
Teresa L Crandell - NPI 1477619443
Teresa L Crandell is a Contractor in Okmulgee, Oklahoma. Teresa L Crandell practices all healthcare services and medical treatments related to Contractor. The NPI Number for Teresa L Crandell is 1477619443. The last update date is 2007-07-08.
Teresa L Crandell's current location address is 104 S Morton Ave, Okmulgee, Oklahoma. You can contact this provider via phone number 9187562111. The mailing address for Teresa L Crandell is 104 S Morton Ave, Okmulgee, Oklahoma. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Teresa L Crandell |
|---|---|
| Address | 104 S Morton Ave, Okmulgee, Oklahoma |
| Phone Number | 9187562111 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1477619443 |
|---|---|
| Provider Enumeration Date | 2006-12-27 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 104 S Morton Ave |
|---|---|
| City | Okmulgee |
| State | Oklahoma (OK) |
| Post Code | 744475022 |
| Phone Number | 9187562111 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Contractor |
|---|---|
| Taxonomy | 171W00000X |
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Definition: A person who contracts to supply certain materials or do certain work for a stipulated sum; esp., one whose business is contracting work in any of the building trades. For purposes of the taxonomy, a person who contracts to complete home repairs or m |
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What is the unique 10-digit identification code assigned to Teresa L Crandell by the Centers for Medicare & Medicaid Services?
The Teresa L Crandell has been issued the NPI (National Provider Identifier) 1477619443, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Teresa L Crandell's facilities are situated?
The facilities of Teresa L Crandell are physically located at the following address: 104 S Morton Ave, Okmulgee, OK, 744475022.
What is Teresa L Crandell's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Teresa L Crandell's specialized field of practice is Contractor, and the corresponding taxonomy code that categorizes this area of specialization is 171W00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1477619443 to Teresa L Crandell?
The Centers for Medicare & Medicaid Services assigned the 1477619443 to Teresa L Crandell on 2006-12-27.
As of what date were the Teresa L Crandell's details last updated?
The information pertaining to the Teresa L Crandell, including its address, specialty, and other details, was most recently updated on 2007-07-08.