Crutchfield, Jay M.
Crutchfield, Jay M. is an sole proprietor health care provider with primary practice located at 1401 E Central Dr , Meridian ID 83642-8046. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Crutchfield, Jay M. can be contacted via phone (208) 795-4382.Contact Information
Primary practice address
1401 E Central Dr
Meridian ID 83642-8046
Phone: (208) 795-4382
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 21253 | Arizona |
Profile Details
| NPI number | 1700866290 |
|---|---|
| LBN Legal business name | Crutchfield, Jay M. |
| Credentials | MD FACS |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 19th, 2006 |
| Last updated | Aug 21st, 2020 - about 5 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 | 1700866290 | NPPES |
| Arizona | Other | 020041119 | RAILROAD MEDICARE |
| Arizona | MEDICAID | 339756 | RAILROAD MEDICARE |
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