Crull, Heidi K

Crull, Heidi K is an individual health care provider with primary practice located at 2115 S Fremont Ave Ste 3300, Springfield MO 65804-2239. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Crull, Heidi K can be contacted via phone (417) 820-5200.

Contact Information

Primary practice address
2115 S Fremont Ave Ste 3300 Springfield MO 65804-2239
Phone: (417) 820-5200
Fax: (417) 820-5220
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 2011040496 Missouri

Profile Details

NPI number 1013281427
LBN Legal business name Crull, Heidi K
Credentials ANP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 2nd, 2012
Last updated Jul 5th, 2012 - about 13 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 1013281427 NPPES
Missouri MEDICAID 10132814257
Missouri MEDICAID 191534758
Missouri Other P01036357
Missouri Other 431560263

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