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:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1467543140 | NPPES |
Tennessee | Other | 4064441 | AETNA |
Tennessee | Other | 3144579 | AETNA |
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