Provider Demographics
NPI:1336426972
Name:CROW, PATRICK FRANCIS
Entity Type:Individual
Prefix:MR
First Name:PATRICK
Middle Name:FRANCIS
Last Name:CROW
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 1:34800 VINE ST
Mailing Address - Street 2:APT. 106E
Mailing Address - City:WILLOWICK
Mailing Address - State:OH
Mailing Address - Zip Code:44095-5122
Mailing Address - Country:US
Mailing Address - Phone:440-527-3942
Mailing Address - Fax:
Practice Address - Street 1:34800 VINE ST
Practice Address - Street 2:APT. 106E
Practice Address - City:WILLOWICK
Practice Address - State:OH
Practice Address - Zip Code:44095-5122
Practice Address - Country:US
Practice Address - Phone:440-527-3942
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 Licenses
StateLicense IDTaxonomies
OH18005825908376K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376K00000XNursing Service Related ProvidersNurse's Aide