Doctor Name: | DR. CHERYL ANNE CRAWFORD |
NPI Number: | 1609077007 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.D. |
License Number: | 01030357 |
Business Practice Address: | 204 W Pine Dr Santa Claus, IN - 475796112 |
Business Phone Number: | 8125442821 |
Business Fax Number: | 8125442971 |
Mailing Address: | 204 W Pine Dr, SANTA CLAUS |
State: | IN |
Postal Code: | 475796112 |
Phone Number: | 8125442821 |
Fax Number: | 8125442971 |
NPI Enumeration Date: | 05/31/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 251G00000X |
License Number: | 01030357 |
Healthcare Provider Taxonomy: (Secondary) | X |
State: | IN |
Taxonomy Type: | Agencies |
Taxonomy Classification: | Hospice Care, Community Based |
Taxonomy Specialization: | |
Taxonomy Definition: |