WILLIE J. CRAWFORD JR. - NPI 1366646317 - Military Health Care Provider in Twentynine Palms, CA

Q: What is Willie Crawford's NPI number?

The NPI number for Willie Crawford is 1366646317. It was assigned to this individual provider in the NPPES registry on June 13, 2007.

Q: What is Willie Crawford's specialty?

The primary specialty registered for this NPI is Military Health Care Provider, specializing in Independent Duty Corpsman, with taxonomy code 1710I1002X.

Q: When was this NPI record last updated?

The NPPES record for Willie Crawford was last updated on August 7, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

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About Willie J. Crawford Jr. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WILLIE J. CRAWFORD JR. (NPI 1366646317) is an individual independent duty corpsman provider in Twentynine Palms, California and active in the NPI registry since June 2007.

NPPES Registry Identity

NPI1366646317

Entity TypeIndividualMale

Primary Taxonomy1710I1002X

Provider Legal NameWILLIE J. CRAWFORD JR.

Location Address1145 STURGIS RDTwentynine Palms, CA 92278

Mailing Address1145 Sturgis RdTwentynine Palms, CA 92278 · (760) 830-2621

Phone(760) 830-2621

Sole ProprietorNo

Enumeration DateJune 13, 2007

Last NPPES UpdateAugust 7, 2013

✔ NPI 1366646317 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMilitary Health Care Provider · Independent Duty CorpsmanOther Service Providers

Taxonomy Code1710I1002X

Definition

A Navy Independent Duty Corpsman (IDC) is an active duty Sailor who has successfully completed one of the Navy's specific IDC training programs. IDCs are formally trained and educated to perform primary medical care and minor surgical services in a variety of health care and non-health care settings worldwide under indirect physician supervision. IDCs provide care to Department of Defense operational forces and other supporting forces such as contractors and foreign nationals.

1145 STURGIS RD, Twentynine Palms, CA 92278

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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

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