NPI Code Detail JSON Logo

1790635910 NPI number — EJ CRAWFORD ENTERPRISES, LLC

NPI Number: 1790635910
Health Care Provider/Practitioner: EJ CRAWFORD ENTERPRISES, LLC

Information about “1790635910” NPI (EJ CRAWFORD ENTERPRISES, LLC) exists in 1790635910 in HTML format HTML  |  1790635910 in plain Text format TXT  |  1790635910 in PDF (Portable Document Format) PDF  |  1790635910 in an XML format XML  formats.

NPI Number : 1790635910 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1790635910",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "EJ CRAWFORD ENTERPRISES, LLC",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "216 BASSWOOD AVE",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "SUMMERVILLE",
    "MailingAddressStateName": "SC",
    "MailingAddressPostalCode": "29483-4450",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "843-452-1824",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "216 BASSWOOD AVE",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "SUMMERVILLE",
    "PracticeLocationAddressStateName": "SC",
    "PracticeLocationAddressPostalCode": "29483-4450",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "843-452-1824",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "01/28/2026",
    "LastUpdateDate": "01/28/2026",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "CRAWFORD",
    "AuthorizedOfficialFirstName": "ELONA",
    "AuthorizedOfficialMiddleName": "COLETTE",
    "AuthorizedOfficialTitle": "OWNER",
    "AuthorizedOfficialNamePrefix": "MRS.",
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "843-452-1824",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "235Z00000X",
        "TaxonomyName": "Speech-Language Pathologist",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": {
      "HealthcareProviderTaxonomyGroup": {
        "HealthcareProviderTaxonomyGroupName": "193400000X SINGLE SPECIALTY  GROUP",
        "HealthcareProviderTaxonomyGroupDescription": "Single Specialty Group - A business group of one or more individual practitioners, all of who practice with the same area of specialization."
      }
    }
  }
}
                
            

Copyright © 2007-2026 Data Labs Health. All rights reserved.