Criddle, Frank Jefferson
Criddle, Frank Jefferson is an individual health care provider with primary practice located at 2500 N State St , Jackson MS 39216-4500. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Infectious Disease, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Criddle, Frank Jefferson can be contacted via phone (601) 984-6426.Contact Information
Primary practice address
2500 N State St
Jackson MS 39216-4500
Phone: (601) 984-6426
Fax: (601) 984-6439
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Infectious Disease | 207RI0200X | 13166 | Mississippi |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 13166 | Mississippi |
Profile Details
| NPI number | 1447279526 |
|---|---|
| LBN Legal business name | Criddle, Frank Jefferson |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 19th, 2006 |
| Last updated | Nov 12th, 2021 - about 5 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1447279526 | NPPES |
| Mississippi | MEDICAID | 07076260 | |
| Mississippi | Other | P01212522 | |
| Mississippi | Other | 13166 |
Popular Providers
-
Davila, Rene
2500 North State Street Dept Of Medicine Division Of Digestive Disease, Jackson MS 39216-4505 -
Hausmann, Jan M
350 W Woodrow Wilson Ave Jackson-Hinds Comprehensive Health Center, Jackson MS 39213-7681 -
Ullah, Mohammad Iftekhar
2500 North State Street Department Of Medicine Division Of General Internal Med, Jackson MS 39216 -
Glisson, James Kevin
2500 N State St Department Of Medicine Division Of General Internal Med, Jackson MS 39216-4500 -
Hebert, Michael C
1225 N State St , Jackson MS 39202-2064 -
Jones, Harriet
971 Lakeland Dr Ste 250 , Jackson MS 39216 -
Land, Kelly K
2500 North State St Department Of Medicine Division Of General Internal Med, Jackson MS 39216 -
Payne, John
969 Lakeland Dr , Jackson MS 39216-4606