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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 14 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1770564320 NPPES
Texas MEDICAID 163049302
Texas Other 0019KV

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