Crowder, Jonathan Slade

Crowder, Jonathan Slade is an individual health care provider with primary practice located at 3203 Middle Road , Columbus IN 47203. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Crowder, Jonathan Slade can be contacted via phone (812) 373-2700.

Contact Information

Primary practice address
3203 Middle Road Columbus IN 47203
Phone: (812) 373-2700
Fax: (812) 373-2710
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 01057432A Indiana

Profile Details

NPI number 1598723959
LBN Legal business name Crowder, Jonathan Slade
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 3rd, 2006
Last updated Aug 8th, 2018 - about 7 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 1598723959 NPPES
Indiana Other 000000984083 ANTHEM PIN
Indiana Other P00038722 ANTHEM PIN
Indiana MEDICAID 200426270A ANTHEM PIN
Indiana Other 000000286084 ANTHEM PIN
Indiana Other 01057432A ANTHEM PIN
Indiana Other 1407861164 ANTHEM PIN

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