Crittenden, Jeffrey John
Crittenden, Jeffrey John is an individual health care provider with primary practice located at 480 Honeysuckle Rd , Dothan AL 36305-1156. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Crittenden, Jeffrey John can be contacted via phone (334) 836-1212.Contact Information
Primary practice address
480 Honeysuckle Rd
Dothan AL 36305-1156
Phone: (334) 836-1212
Fax: (334) 836-1888
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | 12796 | Alabama |
Profile Details
| NPI number | 1043264336 |
|---|---|
| LBN Legal business name | Crittenden, Jeffrey John |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 20th, 2006 |
| Last updated | Jul 8th, 2007 - about 19 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 | 1043264336 | NPPES |
| Other | P00233449 | RAILROAD MEDICARE | |
| MEDICAID | 00425708A | RAILROAD MEDICARE | |
| Other | 1202092 | RAILROAD MEDICARE |
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