Healthcare Provider Details

I. General information

NPI: 1881909349
Provider Name (Legal Business Name): BILLIE JEAN CRIGGER D.O.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/09/2010
Last Update Date: 08/05/2026
Certification Date: 08/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

240 GEORGE ST
BECKLEY WV
25801-2641
US

IV. Provider business mailing address

PO BOX 564
MABSCOTT WV
25871-0564
US

V. Phone/Fax

Practice location:
  • Phone: 304-254-8272
  • Fax: 304-254-8280
Mailing address:
  • Phone: 304-254-8272
  • Fax: 304-254-8280

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207YX0007X
TaxonomyPlastic Surgery within the Head & Neck (Otolaryngology) Physician
License Number3163
License Number StateWV
# 2
Primary TaxonomyN
Taxonomy Code207Y00000X
TaxonomyOtolaryngology Physician
License Number02004132A
License Number StateIN
# 3
Primary TaxonomyY
Taxonomy Code207YX0905X
TaxonomyOtolaryngology/Facial Plastic Surgery Physician
License Number3163
License Number StateWV
# 4
Primary TaxonomyN
Taxonomy Code207YX0905X
TaxonomyOtolaryngology/Facial Plastic Surgery Physician
License Number02004132A
License Number StateIN
# 5
Primary TaxonomyN
Taxonomy Code207YX0602X
TaxonomyOtolaryngic Allergy Physician
License Number3163
License Number StateWV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: