Crandell, Donna Charlene
Crandell, Donna Charlene is an individual health care provider with primary practice located at 5682 Highway 73 , Russellville AL 35653-6387. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Diagnostic Ultrasound. Allopathic & Osteopathic Physicians / Diagnostic Radiology is her primary health care specialty. Crandell, Donna Charlene can be contacted via phone (256) 332-7350.Contact Information
Primary practice address
5682 Highway 73
Russellville AL 35653-6387
Phone: (256) 332-7350
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 10863 | Alabama |
Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 15749 | Georgia |
Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 06281 | Mississippi |
Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 9456 | Oklahoma |
Allopathic & Osteopathic Physicians / Diagnostic Ultrasound | 2085U0001X | 5982 | Tennessee |
Profile Details
NPI number | 1477583516 |
---|---|
LBN Legal business name | Crandell, Donna Charlene |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jul 4th, 2006 |
Last updated | Jul 8th, 2007 - about 18 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 | 1477583516 | NPPES |
Alabama | MEDICAID | 35295 |
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