TYRONE L CREW; NPI #1629615000

Contact Information

TYRONE L CREW

4330 10TH AVE S APT 305
FARGO, ND 58103-7088

Phone: 701-730-9365
Fax:
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Religious Nonmedical Practitioner	374K00000X

Indicates primary specialty

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NPI Profile & details for TYRONE L CREW

NPI #	`1629615000`
LBN Legal business name	TYRONE L CREW
Authorized official	TYRONE CREW - (OWNER)
Entity	Organization
Organization subpart ¹	No
Enumeration date	12/05/2019
Last updated	02/04/2024 - About 2 years ago
Identifiers	n/a

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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TYRONE L CREW

Contact Information

Specialty

Religious Nonmedical Practitioner

NPI Profile & details for TYRONE L CREW

Reviews for TYRONE L CREW