Provider Demographics
NPI:1730401365
Name:CROWELL, SARAH ANN (RD)
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:ANN
Last Name:CROWELL
Suffix:
Gender:F
Credentials:RD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2050 KENNY RD
Mailing Address - Street 2:OSUMC CENTER FOR WELLNESS & PREVENTION
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43221-3502
Mailing Address - Country:US
Mailing Address - Phone:614-293-2800
Mailing Address - Fax:614-293-2801
Practice Address - Street 1:2050 KENNY RD
Practice Address - Street 2:OSUMC CENTER FOR WELLNESS & PREVENTION
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43221-3502
Practice Address - Country:US
Practice Address - Phone:614-293-2800
Practice Address - Fax:614-293-2801
Is Sole Proprietor?:No
Enumeration Date:2010-02-24
Last Update Date:2010-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHLD.6284133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered
Provider Identifiers
StateIdentifier IDID TypeIssuer
OHPENDINGMedicare PIN