MEDICARE: JOSEPH B. CRABTREE MD

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
1	2084P0800X	Psychiatry Physician	G53421	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1982752796
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOSEPH B. CRABTREE MD

Provider Business Mailing Address
First Line	:	550 MAIN STREET
Second Line	:	SUITE C
City	:	NEWCASTLE
State	:	CA
Zip	:	95658
Country	:	US
Telephone Number	:	916-663-1488
Fax Number	:	916-604-4536

Provider Business Practice Location Address
First Line	:	550 MAIN STREET
Second Line	:	SUITE C
City	:	NEWCASTLE
State	:	CA
Zip	:	95658
Country	:	US
Telephone Number	:	916-663-1488
Fax Number	:	916-604-4536

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/08/2007
Last Update Date	:	10/04/2010

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