Crickman, Bonnie L.

Crickman, Bonnie L. is an individual health care provider with primary practice located at 501 Carnes Crossing Blvd Ste B , Summerville SC 29486. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Crickman, Bonnie L. can be contacted via phone (843) 212-8080.

Contact Information

Primary practice address
501 Carnes Crossing Blvd Ste B Summerville SC 29486
Fax: (843) 203-2299
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 11803 South Carolina

Profile Details

NPI number 1740261726
LBN Legal business name Crickman, Bonnie L.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 8th, 2005
Last updated Oct 30th, 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 1740261726 NPPES
South Carolina Other 003 BCBS
South Carolina Other 032 BCBS
South Carolina MEDICAID 118036 BCBS
South Carolina Other 6201460 BCBS
South Carolina Other B924498552 BCBS
South Carolina Other 20079153 BCBS
South Carolina Other 034 BCBS
South Carolina Other 5208053 BCBS
South Carolina Other 000000248853 BCBS
South Carolina Other 063 BCBS
South Carolina Other 061 BCBS
South Carolina Other 211988 BCBS
South Carolina MEDICAID 5910323 BCBS

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