Crittenden, Heather Daryl
Crittenden, Heather Daryl is an sole proprietor health care provider with primary practice located at 3400 Escalante Ovi , Flagstaff AZ 86001-3752. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is her primary health care specialty. Crittenden, Heather Daryl can be contacted via phone (928) 226-1239.Contact Information
Primary practice address
3400 Escalante Ovi
Flagstaff AZ 86001-3752
Phone: (928) 226-1239
Fax: (928) 773-1170
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 25588 | Arizona |
| Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine | 207RH0002X | 25588 | Arizona |
Profile Details
| NPI number | 1467448142 |
|---|---|
| LBN Legal business name | Crittenden, Heather Daryl |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 27th, 2005 |
| Last updated | Mar 15th, 2021 - about 3 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 | 1467448142 | NPPES |
| Arizona | MEDICAID | 422890 |
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