Crawford, Alan Gregory

Crawford, Alan Gregory is an sole proprietor health care provider with primary practice located at 24 Marks Road , Ocean Springs MS 39564. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatology, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Allopathic & Osteopathic Physicians / Dermatology is his primary health care specialty. Crawford, Alan Gregory can be contacted via phone (228) 872-8873.

Contact Information

Primary practice address
24 Marks Road Ocean Springs MS 39564
Fax: (228) 872-8876
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X PA013 Mississippi
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA00013 Mississippi

Profile Details

NPI number 1720048002
LBN Legal business name Crawford, Alan Gregory
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 23rd, 2006
Last updated Nov 20th, 2017 - about 7 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 1720048002 NPPES
Mississippi MEDICAID 00126840

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