Jeffrey John Crittenden
Gastroenterologist
480 Honeysuckle Rd
Dothan
, Alabama 36305-1156
Jeffrey John Crittenden
Gastroenterologist
480 Honeysuckle Rd
Dothan
, Alabama 36305-1156
(334) 836-1888
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About
Features
Specialties
- Gastroenterologist
Languages spoken
- English
Location
First Address
- Jeffrey John Crittenden
- 480 Honeysuckle Rd
- Dothan, AL
- Zip : 36305-1156
- Fax : (334) 836-1888
- Phone : (334) 836-1212
Second Address
- Jeffrey John Crittenden
- 480 Honeysuckle Rd
- Dothan, AL
- Zip : 36305-1156
- Fax : (334) 836-1888
- Phone : (334) 836-1212
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207RG0100X | Gastroenterologist | 12796 | AL |
National Provider Identifier
| NPI | 1043264336 |
|---|---|
| Provider Name | Jeffrey John Crittenden |
| First Address | Dothan, AL 36305-1156 |
| Second Address | Dothan, AL 36305-1156 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 20/05/2006 |
| Last Update Date | 08/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 00425708A | (05) | GA |
| 1202092 | UNITED HEALTHCARE (01) | |
| C73213 | (02) | |
| P00233449 | RAILROAD MEDICARE (01) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.