Provider Demographics
NPI:1982752796
Name:CRABTREE, JOSEPH B (MD)
Entity type:Individual
Prefix:
First Name:JOSEPH
Middle Name:B
Last Name:CRABTREE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:550 MAIN STREET
Mailing Address - Street 2:SUITE C
Mailing Address - City:NEWCASTLE
Mailing Address - State:CA
Mailing Address - Zip Code:95658
Mailing Address - Country:US
Mailing Address - Phone:916-663-1488
Mailing Address - Fax:916-604-4536
Practice Address - Street 1:550 MAIN STREET
Practice Address - Street 2:SUITE C
Practice Address - City:NEWCASTLE
Practice Address - State:CA
Practice Address - Zip Code:95658
Practice Address - Country:US
Practice Address - Phone:916-663-1488
Practice Address - Fax:916-604-4536
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-08
Last Update Date:2010-10-04
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAG534212084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00G534210Medicaid