Provider Demographics
NPI:1558682955
Name:CROWLEY, SEAN CORNELIUS (MD)
Entity Type:Individual
Prefix:DR
First Name:SEAN
Middle Name:CORNELIUS
Last Name:CROWLEY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:200 CORPORATE BLVD
Mailing Address - Street 2:
Mailing Address - City:LAFAYETTE
Mailing Address - State:LA
Mailing Address - Zip Code:70508-3870
Mailing Address - Country:US
Mailing Address - Phone:800-893-9698
Mailing Address - Fax:
Practice Address - Street 1:105 SMITH HEIGHTS RD
Practice Address - Street 2:
Practice Address - City:PARIS
Practice Address - State:TN
Practice Address - Zip Code:38242-8836
Practice Address - Country:US
Practice Address - Phone:615-830-3522
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-06-20
Last Update Date:2021-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LAMD.207257207P00000X
FLME115516207P00000X
TN54985207P00000X
TXR4955207P00000X
SC36910207P00000X
OH35.098136207P00000X
ALMD.33364207P00000X
OH098136207P00000X
MS23371207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine