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
Phone: (843) 212-8080
Fax: (843) 203-2299
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
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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