National Provider Identifier Database

CROSSROADS URGENT CARE PLLC
Rural Health


Contact Information

CROSSROADS URGENT CARE PLLC
2395 LAKE RD
DYERSBURG, TN38024-1831
Phone: 731-882-1958
Fax:
Website:
Specialty Taxonomy Code
* Rural Health 261QR1300X

* Indicates primary specialty

NPI Profile & details for CROSSROADS URGENT CARE PLLC

NPI Number 1720460595
Legal business name
LBN
CROSSROADS URGENT CARE PLLC
Authorized official MIKE MAULDIN - (CFO)
Entity Organization
Organization subpart No
Enumeration date 06/29/2015
Last updated 07/05/2016 - About 10 years ago
Sole proprietor1 Not specified
Identifiers
  • Other: 44-8949 CMS CERTIFICATION NUMBER

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

Reviews for CROSSROADS URGENT CARE PLLC

There are currently no reviews for CROSSROADS URGENT CARE PLLC


NPIdb - Home
v2.201