Samuel John Crutcher in Lebanon - Family Medicine
Samuel John Crutcher - NPI 1124150016
Samuel John Crutcher is a Family Medicine in Lebanon, Tennessee. Samuel John Crutcher practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Samuel John Crutcher is 1124150016. The last update date is 2011-08-09.
Samuel John Crutcher's current location address is 1407 W. Baddour Parkway, Lebanon, Tennessee. You can contact this provider via phone number 6154446203 and fax number 6154446252. The mailing address for Samuel John Crutcher is 1407 W. Baddour Parkway, Lebanon, Tennessee. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Samuel John Crutcher |
|---|---|
| Address | 1407 W. Baddour Parkway, Lebanon, Tennessee |
| Phone Number | 6154446203 |
| Fax Number | 6154446252 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1124150016 |
|---|---|
| Provider Enumeration Date | 2007-03-09 |
| Last Updated Date | 2011-08-09 |
Provider Mailing Address Detail
| Address | 1407 W. Baddour Parkway |
|---|---|
| City | Lebanon |
| State | Tennessee (TN) |
| Post Code | 370872513 |
| Phone Number | 6154446203 |
| Fax Number | 6154446252 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | 29024 |
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Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 29024 | SC | LICENSE | |
| 3035474 | TN | UHC | |
| 11970229 | TN | CAQH | |
| 290241 | SC | -- | |
| 7919136 | TN | CIGNA | |
| MD45549 | TN | LICENSE | |
| 1522977 | TN | -- | |
| 4272184 | TN | BCBS |
Post Comment/ Review Below
What is the unique identifier code issued to Samuel John Crutcher by the Centers for Medicare & Medicaid Services?
The Samuel John Crutcher has been assigned the NPI (National Provider Identifier) 1124150016. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Samuel John Crutcher?
The Samuel John Crutcher is physically situated at 1407 W. Baddour Parkway, in the city of Lebanon, state of TN, with the postal code 370872513.
What is Samuel John Crutcher's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Samuel John Crutcher's specialized field of practice is Family Medicine, and the corresponding taxonomy code that categorizes this area of specialization is 207Q00000X.
When did the Samuel John Crutcher receive its 1124150016?
The Samuel John Crutcher was issued its 1124150016 on 2007-03-09, which is the date when the organization was assigned this unique identifier.
As of what date was the information pertaining to Samuel John Crutcher, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Samuel John Crutcher, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2011-08-09.
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