Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207YX0007X | Plastic Surgeon (Head & Neck) | 3163 | WV |
Y | 207YX0905X | Otolaryngology/Facial Plastic Surgery | 3163 | WV |
NPI | 1881909349 |
---|---|
Provider Name | Dr. Billie Jean Crigger |
First Address | Mabscott, WV 25871-0564 |
Second Address | Beckley, WV 25801-2641 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 09/08/2010 |
Last Update Date | 13/04/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0163736 | (05) | OH |
7100310530 | (05) | KY |
K160460 | MEDICARE (01) | KY |