Robert Crandall in Overton - Specialist

Robert Crandall - NPI 1750383105

Robert Crandall is a Specialist in Overton, Nebraska. Robert Crandall practices all healthcare services and medical treatments related to Specialist. The NPI Number for Robert Crandall is 1750383105. The last update date is 2018-07-17.

Robert Crandall's current location address is 74720 G Rd, Overton, Nebraska. You can contact this provider via phone number 3089872207. The mailing address for Robert Crandall is 74720 G Rd, Overton, Nebraska. To know further, please read the information below!

Provider Profile Detail

Provider Name Robert Crandall
Address 74720 G Rd, Overton, Nebraska
Phone Number 3089872207
Fax Number
Sole Proprietor N
Credentials DO

NPI Number Detail

NPI Number 1750383105
Provider Enumeration Date 2005-08-15
Last Updated Date 2018-07-17

Provider Mailing Address Detail

Address 74720 G Rd
City Overton
State Nebraska (NE)
Post Code 688635811
Phone Number 3089872207
Fax Number

Provider's Primary Taxonomy Detail

Speciality Specialist
Taxonomy 174400000X
Licence No 255
Definition:
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
6657 NE BLUE CROSS BLUE SHIELD NE
1750383105 NE --

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FAQs about Robert Crandall

What is the unique identifier code issued to Robert Crandall by the Centers for Medicare & Medicaid Services (CMS)?

The Robert Crandall has been assigned the NPI (National Provider Identifier) 1750383105. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you kindly provide the complete physical address where Robert Crandall's facilities are geographically located?

The facilities of Robert Crandall are physically situated at the following location: 74720 G Rd, Overton, NE, 688635811.

What is the area of specialization for Robert Crandall, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Robert Crandall is Specialist, and the corresponding taxonomy code that categorizes this area of expertise is 174400000X.

On what date did the Centers for Medicare & Medicaid Services assign the 1750383105 to Robert Crandall?

The Centers for Medicare & Medicaid Services assigned the 1750383105 to Robert Crandall on 2005-08-15.

When was the information pertaining to Robert Crandall most recently updated or revised?

The details related to Robert Crandall, including its address, specialty, and other relevant information, were last updated or revised on 2018-07-17.

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