Crutchfield, John Stuart
Crutchfield, John Stuart is an sole proprietor health care provider with primary practice located at 722 Clinic Dr , Tyler TX 75701-2001. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurological Surgery, which is considered as his primary health care specialty. Crutchfield, John Stuart can be contacted via phone (903) 531-9901.Contact Information
Primary practice address
722 Clinic Dr
Tyler TX 75701-2001
Phone: (903) 531-9901
Fax: (903) 531-9739
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Neurological Surgery | 207T00000X | H6140 | Texas |
Profile Details
NPI number | 1770564320 |
---|---|
LBN Legal business name | Crutchfield, John Stuart |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Nov 10th, 2005 |
Last updated | Jun 21st, 2010 - 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 | 1770564320 | NPPES |
Texas | MEDICAID | 163049302 | |
Texas | Other | 0019KV |
Popular Providers
-
Renfro, Mark B
700 Olympic Plaza Cir Ste 850, Tyler TX 75701-1955 -
Muns, James Alan
2737 S Broadway Ave , Tyler TX 75701-5413 -
Detwiler, Paul W
700 Olympic Plaza Cir Ste 850, Tyler TX 75701-1955 -
Andrade, Nicholas Stephen
700 Olympic Plaza Cir Ste 850 , Tyler TX 75701-1955 -
Gordon, Charles R
2737 S Broadway Ave , Tyler TX 75701-5413 -
Danielson, Guy O
1814 Roseland Blvd Suite 200, Tyler TX 75701-4244 -
Wortham, James E
2737 S Broadway Ave , Tyler TX 75701 -
Nalbach, Stephen Vincent
700 Olympic Plaza Cir Ste 850 , Tyler TX 75701-1955