NPI Search for Physicians and Health Care Providers
DR. DOUGLAS A CRASE MD
>> Family Medicine >> Allopathic & Osteopathic PhysiciansRegistrant NPI Number: 1295115236
Individual Registrant:
DR. DOUGLAS A CRASE MD
Gender: M
Not Sole Proprietor
Location and contact information for practice:
233 S MAIN ST LICKING, MO 65542 US
Tel: 573-674-3011 Fax: 573-674-4765
Contact information for business:
PO BOX 47 LICKING, MO 65542-0047 US
Tel: 573-674-3011 Fax: 573-674-4765
Registration Information:
NPI: 1295115236
Entity Type: Individual
Specialty information:
Primary | Code | Category/Description | State | License Number |
---|
N | 207Q00000X | Allopathic & Osteopathic Physicians Family Medicine
| KS | 94-08586 |
N | 208M00000X | Allopathic & Osteopathic Physicians Hospitalist | KS | 04-39253 |
Y | 207Q00000X | Allopathic & Osteopathic Physicians Family Medicine | MO | 2018005000 |
Legacy codes, insurance codes and state license numbers:
Issuer | Number | State | Type |
---|
| 200052063 | MO | 05 |
CLIA | 26D0679044 | MO | 01 |
KANSAS MEDICAL LICENSE | 04-39253 | KS | 01 |
MEDICARE PART B | 132450013 | MO | 01 |
MEDICARE PART B | 501010023 | MO | 01 |
HEALTH CARE JOBS MO - Page 1