Provider Demographics
NPI:1891072492
Name:CRAWLEY, MICHAEL ALVA
Entity Type:Individual
Prefix:MR
First Name:MICHAEL
Middle Name:ALVA
Last Name:CRAWLEY
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:610 N MAIN ST
Mailing Address - Street 2:SUITE 252
Mailing Address - City:BLACKSBURG
Mailing Address - State:VA
Mailing Address - Zip Code:24060-3311
Mailing Address - Country:US
Mailing Address - Phone:540-605-1789
Mailing Address - Fax:
Practice Address - Street 1:610 N MAIN ST
Practice Address - Street 2:SUITE 252
Practice Address - City:BLACKSBURG
Practice Address - State:VA
Practice Address - Zip Code:24060-3311
Practice Address - Country:US
Practice Address - Phone:540-605-1789
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-11-10
Last Update Date:2011-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies