Sumrall, Chrystal A

Sumrall, Chrystal A is an individual health care provider with primary practice located at 2313 Highway 15 N , Laurel MS 39440-1805. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Sumrall, Chrystal A can be contacted via phone (601) 649-2775.

Contact Information

Primary practice address
2313 Highway 15 N Laurel MS 39440-1805
Phone: (601) 649-2775
Fax: (601) 649-2686
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 15987 Mississippi

Profile Details

NPI number 1427095579
LBN Legal business name Sumrall, Chrystal A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 31st, 2006
Last updated Aug 3rd, 2020 - about 4 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 1427095579 NPPES
Mississippi MEDICAID 00120998
Mississippi Other 7124192
Mississippi Other H05203
Mississippi Other 0801646

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