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:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| 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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