Crutcher, Colie
Crutcher, Colie is an sole proprietor health care provider with primary practice located at 754 Derby Dr , York AL 36925-2122. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Crutcher, Colie can be contacted via phone (205) 392-5350.Contact Information
Primary practice address
754 Derby Dr
York AL 36925-2122
Phone: (205) 392-5350
Fax: (205) 392-4821
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 17070 | Alabama |
Profile Details
| NPI number | 1407967771 |
|---|---|
| LBN Legal business name | Crutcher, Colie |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 31st, 2006 |
| Last updated | Sep 27th, 2011 - about 15 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 | 1407967771 | NPPES |
| Alabama | MEDICAID | 000025938 |
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