Crosier, Jefferson Ward

Crosier, Jefferson Ward is an individual health care provider with primary practice located at 753 Humble Dr Ste B, Cookeville TN 38501-4202. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Crosier, Jefferson Ward can be contacted via phone (931) 520-1800.

Contact Information

Primary practice address
753 Humble Dr Ste B Cookeville TN 38501-4202
Phone: (931) 520-1800
Fax: (931) 520-1844
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 0008019 Tennessee
Other Service Providers / Specialist 174400000X MD8019 Tennessee

Profile Details

NPI number 1962404228
LBN Legal business name Crosier, Jefferson Ward
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 1st, 2005
Last updated Jan 9th, 2017 - about 8 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 1962404228 NPPES
Tennessee MEDICAID 1508364

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