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NPI Code Detail

MEDICARE: MS. ALLISON JENNIFER CRAWFORD L. AC.

MEDICARE: MS. ALLISON JENNIFER CRAWFORD L. AC.
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
1171100000XAcupuncturistAC 9197CA

General Provider Information

NPI Number : 1215091178
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. ALLISON JENNIFER CRAWFORD L. AC.
Provider Business Mailing Address
First Line : 862 FOLSOM ST
Second Line :
City : SAN FRANCISCO
State : CA
Zip : 94107-1123
Country : US
Telephone Number : 415-819-5352
Fax Number : 415-495-3946
Provider Business Practice Location Address
First Line : 862 FOLSOM ST
Second Line :
City : SAN FRANCISCO
State : CA
Zip : 94107-1123
Country : US
Telephone Number : 415-819-5352
Fax Number : 415-495-3946
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/21/2006
Last Update Date : 07/08/2007

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