Crichlow, Brian R

Crichlow, Brian R is an individual health care provider with primary practice located at 204 Becker Dr , Roanoke Rapids NC 27870-3134. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Crichlow, Brian R can be contacted via phone (252) 537-8193.

Contact Information

Primary practice address
204 Becker Dr Roanoke Rapids NC 27870-3134
Phone: (252) 537-8193
Fax: (252) 537-0589
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 0101236455 Virginia
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 200400660 North Carolina

Profile Details

NPI number 1902986292
LBN Legal business name Crichlow, Brian R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 17th, 2006
Last updated Nov 11th, 2020 - about 5 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 1902986292 NPPES
Virginia MEDICAID 010089701
Virginia Other 146403
Virginia Other 146404
Virginia MEDICAID 010311063
Virginia Other 137UE
Virginia MEDICAID 89137UE
Virginia Other I07378

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