Crowder, Brenda Jane

Crowder, Brenda Jane is an individual health care provider with primary practice located at 1500 W Elk Ave , Elizabethton TN 37643-2654. She recently has only one registered license in Allopathic & Osteopathic Physicians / Gynecology, which is considered as her primary health care specialty. Crowder, Brenda Jane can be contacted via phone (423) 543-2584.

Contact Information

Primary practice address
1500 W Elk Ave Elizabethton TN 37643-2654
Phone: (423) 543-2584
Fax: (423) 722-2060
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gynecology 207VG0400X MD17907 Tennessee

Profile Details

NPI number 1801865324
LBN Legal business name Crowder, Brenda Jane
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 16th, 2006
Last updated Apr 29th, 2021 - about 4 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 1801865324 NPPES
Tennessee Other 160055035 RAILROAD MEDICARE
Tennessee MEDICAID 0327017 RAILROAD MEDICARE
Tennessee Other TN0101 RAILROAD MEDICARE
Tennessee Other 3131685 RAILROAD MEDICARE

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