Crutchfield, Jessica
Crutchfield, Jessica is an individual health care provider with primary practice located at 1603 Highway 20 Ne Suite 201, Conyers GA 30012-3736. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Crutchfield, Jessica can be contacted via phone (770) 929-8411.Contact Information
Primary practice address
1603 Highway 20 Ne Suite 201
Conyers GA 30012-3736
Phone: (770) 929-8411
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 1068999 | Georgia |
Profile Details
| NPI number | 1114096468 |
|---|---|
| LBN Legal business name | Crutchfield, Jessica |
| Credentials | Physical Therapist (PT) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 8th, 2006 |
| Last updated | Jul 8th, 2007 - about 17 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 | 1114096468 | NPPES |
| Georgia | Other | 1068999 | STATE LISC NUMBER |
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