Crystal, Luz Jovita

Crystal, Luz Jovita is an individual health care provider with primary practice located at 2202 Jordan Road Sw Suite 500, Fort Payne AL 35968-3688. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Crystal, Luz Jovita can be contacted via phone (256) 844-2825.

Contact Information

Primary practice address
2202 Jordan Road Sw Suite 500 Fort Payne AL 35968-3688
Phone: (256) 844-2825
Fax: (256) 844-2834
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 00018535 Alabama

Profile Details

NPI number 1972544153
LBN Legal business name Crystal, Luz Jovita
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 9th, 2006
Last updated Oct 15th, 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 1972544153 NPPES
Alabama MEDICAID 051558061
Alabama Other 510-03925
Alabama MEDICAID 541385610
Alabama MEDICAID 051557585
Alabama Other 510-03714

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