Jeffrey A. Crowhurst in Ottawa - Podiatrist

Jeffrey A. Crowhurst - NPI 1043216625

Jeffrey A. Crowhurst is a Podiatrist in Ottawa, Illinois. Jeffrey A. Crowhurst practices all healthcare services and medical treatments related to Podiatrist. The NPI Number for Jeffrey A. Crowhurst is 1043216625. The last update date is 2008-02-15.

Jeffrey A. Crowhurst's current location address is 1703 Polaris Cir, Ottawa, Illinois. You can contact this provider via phone number 8154341900 and fax number 8154340933. The mailing address for Jeffrey A. Crowhurst is 1703 Polaris Cir, Ottawa, Illinois. To know further, please read the information below!

Provider Profile Detail

Provider Name Jeffrey A. Crowhurst
Address 1703 Polaris Cir, Ottawa, Illinois
Phone Number 8154341900
Fax Number 8154340933
Sole Proprietor Y
Credentials DPM

NPI Number Detail

NPI Number 1043216625
Provider Enumeration Date 2005-06-28
Last Updated Date 2008-02-15

Provider Mailing Address Detail

Address 1703 Polaris Cir
City Ottawa
State Illinois (IL)
Post Code 613501683
Phone Number 8154341900
Fax Number 8154340933

Provider's Primary Taxonomy Detail

Speciality Podiatrist
Taxonomy 213E00000X
Licence No 16003179
Definition:
A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
60101269 IL BLUE CROSS
480025582 RAILROAD MEDICARE
16003179 IL --

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FAQs about Jeffrey A. Crowhurst

What is the unique 10-digit identification code assigned to Jeffrey A. Crowhurst by the Centers for Medicare & Medicaid Services?

The Jeffrey A. Crowhurst has been issued the NPI (National Provider Identifier) 1043216625, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you kindly provide the complete physical address where Jeffrey A. Crowhurst's facilities are geographically located?

The facilities of Jeffrey A. Crowhurst are physically situated at the following location: 1703 Polaris Cir, Ottawa, IL, 613501683.

What is the area of specialization for Jeffrey A. Crowhurst, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Jeffrey A. Crowhurst is Podiatrist, and the corresponding taxonomy code that categorizes this area of expertise is 213E00000X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1043216625 to Jeffrey A. Crowhurst?

The Centers for Medicare & Medicaid Services originally issued the 1043216625 to Jeffrey A. Crowhurst on 2005-06-28.

As of what date was the information pertaining to Jeffrey A. Crowhurst, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Jeffrey A. Crowhurst, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2008-02-15.

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