Jennifer Crutchfield Squires
M.D. | Pediatrics | Female
Jennifer Crutchfield Squires, M.D. is a Charlotte, North Carolina based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Jennifer Crutchfield Squires is
2630 E 7th St Ste 101, Charlotte, North Carolina - 28204-4319. She can be contacted on phone at
704-384-1000 and fax number 704-384-1012.
Jennifer Crutchfield Squires is a sole proprietor of her business.
NPI number (Unique professional ID) for Jennifer Crutchfield Squires is
1073834214 which was assigned by NPPES on 22 Jun, 2010 and it was last updated on 28 Oct, 2020.
Jennifer Crutchfield Squires license number is
2013-01668 for Pediatrics (208000000X) in North Carolina.
Jennifer Crutchfield Squires is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Jennifer Crutchfield Squires basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Jennifer Crutchfield Squires |
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| Credential : | M.D. |
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| Gender : | Female |
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Business Address:
Jennifer Crutchfield Squires address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 2630 E 7th St Ste 101
Charlotte, NC, 28204-4319
United States |
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| Phone Number : | 704-384-1000 |
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| Fax Number : | 704-384-1012 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1073834214 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 22 Jun, 2010 |
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| Last Updated On : | 28 Oct, 2020 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Jennifer Crutchfield Squires are as mentioned. Primary taxonomy code for Jennifer Crutchfield Squires, M.D. is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | Yes | 2013-01668 | NC |
| 208000000X | Pediatrics | No | 4240 | GA |
Legacy Identifiers:
Other legacy medical identifiers of Jennifer Crutchfield Squires such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 1073834214 | MEDICAID | NC | |
Endpoints:
Endpoints provide a simple, secure, scalable, and standards-based way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the Internet. It is used by EHR systems (Electronic Health Records).
| Endpoint Type | Endpoint | Affiliation | Use | Content | Address |
|---|
DIRECT
(Direct Messaging Address) | jsquires81130@direct.novanthealth.org
| No affiliation |
|
| 2630 E 7TH ST STE 101,
CHARLOTTE, NC, 28204-4319
United States |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | Po Box 60447
Charlotte, NC, 28260-0447
United States |
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| Phone Number : | 704-384-1000 |
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| Fax Number : | 704-384-1012 |
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Business Location:
Patients can refer following map for directions to
Jennifer Crutchfield Squires practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.