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NPI Code Detail

MEDICARE: DR. BOB CROW BS, BSN, RN, DC, FNP

MEDICARE: DR. BOB CROW BS, BSN, RN, DC, FNP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1111N00000XChiropractor0105360KS
2363LF0000XFamily Nurse Practitioner144212NE

General Provider Information

NPI Number : 1518267822
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. BOB CROW BS, BSN, RN, DC, FNP
Provider Business Mailing Address
First Line : PO BOX 74008272
Second Line :
City : CHICAGO
State : IL
Zip : 60674-8272
Country : US
Telephone Number : 702-899-0595
Fax Number : 702-977-1496
Provider Business Practice Location Address
First Line : 1700 FURNAS ST
Second Line :
City : ASHLAND
State : NE
Zip : 68003-1254
Country : US
Telephone Number : 872-231-3162
Fax Number : 702-977-1496
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/02/2010
Last Update Date : 10/06/2025

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