Provider Demographics
NPI:1033100342
Name:CRABB, GEORGE T (DO)
Entity Type:Individual
Prefix:DR
First Name:GEORGE
Middle Name:T
Last Name:CRABB
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1845 VETERANS PARK DR
Mailing Address - Street 2:STE 110
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34109-0493
Mailing Address - Country:US
Mailing Address - Phone:239-566-2382
Mailing Address - Fax:239-643-9060
Practice Address - Street 1:1845 VETERANS PARK DR
Practice Address - Street 2:STE 110
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34109-0493
Practice Address - Country:US
Practice Address - Phone:239-566-2382
Practice Address - Fax:239-643-9060
Is Sole Proprietor?:No
Enumeration Date:2005-11-04
Last Update Date:2021-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5101010932207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL846930OtherMEDICARE GROUP #
IL036120420Medicaid
IL036120420Medicaid
ILF69705Medicare UPIN
0N53170Medicare ID - Type Unspecified