Crescuillo, James P

Crescuillo, James P is an individual health care provider with primary practice located at 210 East Chestnut St , Mt Vernon OH 43050. He recently has only one registered license in Chiropractic Providers / Sports Physician, which is considered as his primary health care specialty. Crescuillo, James P can be contacted via phone (740) 397-8025.

Contact Information

Primary practice address
210 East Chestnut St Mt Vernon OH 43050
Phone: (740) 397-8025
Fax: (740) 397-8025
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Sports Physician 111NS0005X 1427 Ohio
Chiropractic Providers / Sports Physician 111NS0005X 4189 Texas

Profile Details

NPI number 1780720847
LBN Legal business name Crescuillo, James P
Credentials DC CCSP
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 29th, 2007
Last updated Jul 8th, 2007 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1780720847 NPPES
Ohio MEDICAID 0856944

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