Crider, James T

Crider, James T is an individual health care provider with primary practice located at 812 Ocean Beach Hwy Ste. 200, Longview WA 98632-4082. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Crider, James T can be contacted via phone (360) 636-6900.

Contact Information

Primary practice address
812 Ocean Beach Hwy Ste. 200 Longview WA 98632-4082
Phone: (360) 636-6900
Fax: (360) 636-2336
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD00035704 Washington

Profile Details

NPI number 1669479689
LBN Legal business name Crider, James T
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 5th, 2005
Last updated Jul 30th, 2012 - about 12 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 1669479689 NPPES
Other 080128574 RR MEDICARE
MEDICAID 150947 RR MEDICARE
MEDICAID 8220782 RR MEDICARE
Other 118361 RR MEDICARE
Other 8921236 RR MEDICARE

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