Provider Demographics
NPI:1447278320
Name:CRABLE, DANIEL J (MD)
Entity type:Individual
Prefix:DR
First Name:DANIEL
Middle Name:J
Last Name:CRABLE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 594
Mailing Address - Street 2:
Mailing Address - City:OAKLAND
Mailing Address - State:MD
Mailing Address - Zip Code:21550-4594
Mailing Address - Country:US
Mailing Address - Phone:301-895-8750
Mailing Address - Fax:301-895-8751
Practice Address - Street 1:32 CORPORATE DR
Practice Address - Street 2:
Practice Address - City:GRANTSVILLE
Practice Address - State:MD
Practice Address - Zip Code:21536-1259
Practice Address - Country:US
Practice Address - Phone:301-895-8750
Practice Address - Fax:301-895-8751
Is Sole Proprietor?:No
Enumeration Date:2006-07-18
Last Update Date:2020-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA053381L207Q00000X
MDD0082522207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA100628OtherUPMC
MDP01839944OtherRAILROAD MEDICARE
PA0015549070006Medicaid
PA780796OtherHIGHMARK BC/BS
PA37470OtherHEALTH AMERICA
PA080071167OtherRAILROAD MEDICARE
PA819518OtherAETNA
PA0015549070006Medicaid
PA37470OtherHEALTH AMERICA
PA00155490700015Medicaid
PA00155490700015Medicaid