Crowder, William Harris

Crowder, William Harris is an individual health care provider with primary practice located at 970 Lakeland Dr Suite 61, Jackson MS 39216-4635. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Interventional Cardiology. Allopathic & Osteopathic Physicians / Interventional Cardiology is his primary health care specialty. Crowder, William Harris can be contacted via phone (601) 982-7850.

Contact Information

Primary practice address
970 Lakeland Dr Suite 61 Jackson MS 39216-4635
Fax: (601) 718-5145
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 17110 Mississippi
Allopathic & Osteopathic Physicians / Interventional Cardiology 207RI0011X 17110 Mississippi

Profile Details

NPI number 1619919479
LBN Legal business name Crowder, William Harris
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 13th, 2006
Last updated Nov 15th, 2023 - about last year

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 1619919479 NPPES
Mississippi MEDICAID 03153889

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