Crutchfield, Hollie G

Crutchfield, Hollie G is an individual health care provider with primary practice located at 1118 Ross Clark Cir Suite 403, Dothan AL 36301-3001. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Crutchfield, Hollie G can be contacted via phone (334) 793-5672.

Contact Information

Primary practice address
1118 Ross Clark Cir Suite 403 Dothan AL 36301-3001
Phone: (334) 793-5672
Fax: (334) 794-0378
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 1088734 Alabama

Profile Details

NPI number 1891749750
LBN Legal business name Crutchfield, Hollie G
Credentials CRNP
Entity Individual
Sole proprietor 1 No
Enumeration date May 22nd, 2006
Last updated Feb 14th, 2012 - about 14 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 1891749750 NPPES
Alabama Other 051520456 BCBS OF AL #
Alabama MEDICAID 051551009 BCBS OF AL #

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