Provider Demographics
NPI:1588442610
Name:CRABTREE, JOSEPH SCHUYLER (PCCI)
Entity type:Individual
Prefix:
First Name:JOSEPH
Middle Name:SCHUYLER
Last Name:CRABTREE
Suffix:
Gender:M
Credentials:PCCI
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 POLK ST UNIT 2006
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94102-5259
Mailing Address - Country:US
Mailing Address - Phone:415-889-9794
Mailing Address - Fax:
Practice Address - Street 1:3150 18TH ST STE 202
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94110-2075
Practice Address - Country:US
Practice Address - Phone:415-562-6056
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-09-19
Last Update Date:2023-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program