Crothers, Andrew W

Crothers, Andrew W is an individual health care provider with primary practice located at 825 Ridge Lake Blvd , Memphis TN 38120-9411. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Crothers, Andrew W can be contacted via phone (901) 685-2200.

Contact Information

Primary practice address
825 Ridge Lake Blvd Memphis TN 38120-9411
Fax: (901) 820-2342
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 22308 Mississippi
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 49228 Tennessee
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X E-7739 Arkansas

Profile Details

NPI number 1952500373
LBN Legal business name Crothers, Andrew W
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 16th, 2007
Last updated Jan 9th, 2018 - 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 1952500373 NPPES
Mississippi MEDICAID 08605892
Mississippi MEDICAID 1530817
Mississippi MEDICAID 1952500373
Mississippi MEDICAID 202151001

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