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
Phone: (228) 872-8873
Fax: (228) 872-8876
Website:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1720048002 | NPPES |
| Mississippi | MEDICAID | 00126840 |
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