Bolisay, Crispin G.
Bolisay, Crispin G. is an sole proprietor health care provider with primary practice located at 105 Medical Center Dr Suite 304, Slidell LA 70461-5544. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Bolisay, Crispin G. can be contacted via phone (985) 646-0360.Contact Information
Primary practice address
105 Medical Center Dr Suite 304
Slidell LA 70461-5544
Phone: (985) 646-0360
Fax: (985) 646-0362
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Nephrology | 207RN0300X | 05389R | Louisiana |
Profile Details
| NPI number | 1316902737 |
|---|---|
| LBN Legal business name | Bolisay, Crispin G. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 19th, 2006 |
| Last updated | Dec 30th, 2008 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1316902737 | NPPES |
| Louisiana | MEDICAID | 1313491 |
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