Individual
DR. EDWARD C CRASE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
200 E. CHESTNUT STREET, LOUISVILLE, KY 40202-1831
(502) 629-7601
Mailing address
234 E. GRAY STREET, SUITE 850, LOUISVILLE, KY 40202-1900
(502) 585-1735
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
MD38755
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000565638
ANTHEM BCBS
KY
05
—
30289901
—
TN
01
—
4147357
BCBS PROVIDER
—
05
—
6412098300
—
KY
01
—
P00450596
RAILROAD MEDICARE
—
Enumeration date
06/27/2006
Last updated
07/30/2009
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