Ronald Stephen Crigler Jr.

Individual provider Active NPI Case Manager/Care Coordinator · Gautier, MS

NPI 1235637703 · NPPES record last updated Jan 30, 2018

Key facts

NPI
1235637703
Entity type
Individual (NPI type 1)
Primary specialty
Case Manager/Care Coordinator 171M00000X
Practice address
3407 Shamrock CT
Gautier, MS 39553-5337
Phone
(228) 497-0690
NPI assigned
Jan 30, 2018
Sex
Male
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X Yes

Addresses

Primary practice location

3407 Shamrock CT
Gautier, MS 39553-5337

Mailing address

3407 Shamrock CT
Gautier, MS 39553-5337

Other providers in Gautier, MS

All providers in Gautier, MS · Case Manager/Care Coordinator in Mississippi

Sources for this page

Verify at the official NPI Registry.