Crout, Teresa M.

Crout, Teresa M. is an individual health care provider with primary practice located at 2500 N State St Dept. Of Medicine, Jackson MS 39216-4500. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Rheumatology. Allopathic & Osteopathic Physicians / Rheumatology is her primary health care specialty. Crout, Teresa M. can be contacted via phone (601) 984-5601.

Contact Information

Primary practice address
2500 N State St Dept. Of Medicine Jackson MS 39216-4500
Phone: (601) 984-5601
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 23267 Mississippi
Allopathic & Osteopathic Physicians / Rheumatology 207RR0500X 23267 Mississippi

Profile Details

NPI number 1033406525
LBN Legal business name Crout, Teresa M.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 5th, 2011
Last updated Feb 28th, 2018 - about 7 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 1033406525 NPPES
Mississippi MEDICAID 07781264

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