Provider Demographics
NPI:1629405766
Name:ST. CROIX OBGYN
Entity Type:Organization
Organization Name:ST. CROIX OBGYN
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:
Authorized Official - First Name:OLIVINE
Authorized Official - Middle Name:A
Authorized Official - Last Name:TREASURE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:340-719-9876
Mailing Address - Street 1:PO BOX 4159
Mailing Address - Street 2:
Mailing Address - City:KINGSHILL
Mailing Address - State:VI
Mailing Address - Zip Code:00851-4159
Mailing Address - Country:US
Mailing Address - Phone:340-719-9876
Mailing Address - Fax:
Practice Address - Street 1:RR#1 10572
Practice Address - Street 2:
Practice Address - City:KINGSHILL
Practice Address - State:VI
Practice Address - Zip Code:00850
Practice Address - Country:US
Practice Address - Phone:340-719-9876
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-10-03
Last Update Date:2013-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM2500XAmbulatory Health Care FacilitiesClinic/CenterMedical Specialty