Healthcare Provider Details

I. General information

NPI: 1942272919
Provider Name (Legal Business Name): CRAWFORD & FITCH - EAR NOSE AND THROAT LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/03/2006
Last Update Date: 12/19/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1029 LIBERTY ST
FRANKLIN PA
16323-1242
US

IV. Provider business mailing address

1029 LIBERTY ST
FRANKLIN PA
16323-1242
US

V. Phone/Fax

Practice location:
  • Phone: 814-437-7266
  • Fax: 814-437-1147
Mailing address:
  • Phone: 814-437-7266
  • Fax: 814-437-1147

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Y00000X
TaxonomyOtolaryngology Physician
License Number040291
License Number StatePA

VIII. Authorized Official

Name: MRS. ALICE M FRANTZ
Title or Position: OFFICE MANAGER
Credential:
Phone: 814-437-7266