Crafton, Julie Witt

Crafton, Julie Witt is an individual health care provider with primary practice located at 2539 Viking Dr Suite 101, Bossier City LA 71111-1611. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Crafton, Julie Witt can be contacted via phone (318) 747-8100.

Contact Information

Primary practice address
2539 Viking Dr Suite 101 Bossier City LA 71111-1611
Phone: (318) 747-8100
Fax: (318) 747-8151
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 15812 Tennessee

Profile Details

NPI number 1740333756
LBN Legal business name Crafton, Julie Witt
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 21st, 2007
Last updated Nov 16th, 2016 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1740333756 NPPES
Tennessee MEDICAID 1531393
Tennessee Other 4341887
Tennessee Other P01152791

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