Crupie, Marc J.

Crupie, Marc J. is an sole proprietor health care provider with primary practice located at 1025 Cordova Station Ave , Cordova TN 38018-6318. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Crupie, Marc J. can be contacted via phone (901) 507-4400.

Contact Information

Primary practice address
1025 Cordova Station Ave Cordova TN 38018-6318
Phone: (901) 507-4400
Fax: (901) 756-5836
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD0000015815 Tennessee

Profile Details

NPI number 1467543140
LBN Legal business name Crupie, Marc J.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 27th, 2006
Last updated Jan 10th, 2008 - about 16 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 1467543140 NPPES
Tennessee Other 4064441 AETNA
Tennessee Other 3144579 AETNA

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