Bourcy-Crandell, Alexandra L
Bourcy-Crandell, Alexandra L is an sole proprietor health care provider with primary practice located at 1503 Highway 45 N , Columbus MS 39705-2113. She recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Allopathic & Osteopathic Physicians / Family Medicine, Physician Assistants & Advanced Practice Nursing Providers / Medical. Physician Assistants & Advanced Practice Nursing Providers / Medical is her primary health care specialty. Bourcy-Crandell, Alexandra L can be contacted via phone (662) 328-9623.Contact Information
Primary practice address
1503 Highway 45 N
Columbus MS 39705-2113
Phone: (662) 328-9623
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | ||
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | PA56628 | California |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | PA56628 | California |
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | PA56628 | California |
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | PA00673 | Mississippi |
Profile Details
| NPI number | 1902373095 |
|---|---|
| LBN Legal business name | Bourcy-Crandell, Alexandra L |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 27th, 2018 |
| Last updated | Sep 26th, 2022 - about 3 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 | 1902373095 | NPPES |
| Mississippi | Other | PA00673 | MS MEDICAL BOARD |
| Mississippi | Other | PA56628 | MS MEDICAL BOARD |
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