Crittenden, Marcus

Crittenden, Marcus is an individual health care provider with primary practice located at 2520 5Th St N , Columbus MS 39705-2008. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Crittenden, Marcus can be contacted via phone (904) 805-1300.

Contact Information

Primary practice address
2520 5Th St N Columbus MS 39705-2008
Phone: (904) 805-1300
Fax: (904) 805-1302
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 13887 Mississippi

Profile Details

NPI number 1164465738
LBN Legal business name Crittenden, Marcus
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 13th, 2006
Last updated Jul 25th, 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 1164465738 NPPES
Mississippi Other 73104186 ALABAMA BLUE CROSS
Mississippi MEDICAID 00113884 ALABAMA BLUE CROSS
Mississippi Other 009983275 ALABAMA BLUE CROSS
Mississippi Other 562251777 ALABAMA BLUE CROSS
Mississippi Other P00233502 ALABAMA BLUE CROSS

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