Provider Demographics
NPI:1730832353
Name:CHROWL, ANTHONY LOUIS (PA-C)
Entity type:Individual
Prefix:
First Name:ANTHONY
Middle Name:LOUIS
Last Name:CHROWL
Suffix:
Gender:M
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3023 RAVENNA ST
Mailing Address - Street 2:
Mailing Address - City:HUDSON
Mailing Address - State:OH
Mailing Address - Zip Code:44236-3511
Mailing Address - Country:US
Mailing Address - Phone:513-405-6445
Mailing Address - Fax:
Practice Address - Street 1:3239 STATE RD
Practice Address - Street 2:
Practice Address - City:CUYAHOGA FALLS
Practice Address - State:OH
Practice Address - Zip Code:44223-2549
Practice Address - Country:US
Practice Address - Phone:330-923-4500
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-02-02
Last Update Date:2022-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH50.007446207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine