Crosnoe, Jimmy

Crosnoe, Jimmy is an individual health care provider with primary practice located at 616 W Forest Ave , Jackson TN 38301-3902. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Crosnoe, Jimmy can be contacted via phone (731) 422-0330.

Contact Information

Primary practice address
616 W Forest Ave Jackson TN 38301-3902
Phone: (731) 422-0330
Fax: (731) 422-0220
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X PT1708 Tennessee

Profile Details

NPI number 1184692303
LBN Legal business name Crosnoe, Jimmy
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 14th, 2006
Last updated Oct 29th, 2008 - about 18 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 1184692303 NPPES
Tennessee MEDICAID 3651919

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