Crevello, Christine A
Crevello, Christine A is an individual health care provider with primary practice located at 148 13Th St Sw , Largo FL 33770-3127. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as her primary health care specialty. Crevello, Christine A can be contacted via phone (727) 581-8706.Contact Information
Primary practice address
148 13Th St Sw
Largo FL 33770-3127
Phone: (727) 581-8706
Fax: (727) 588-2447
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Surgical | 363AS0400X | PA9104469 | Florida |
Profile Details
NPI number | 1740459031 |
---|---|
LBN Legal business name | Crevello, Christine A |
Credentials | Physician's Assistant Certified (PA-C) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Feb 21st, 2008 |
Last updated | Apr 2nd, 2014 - about 11 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 | 1740459031 | NPPES |
Florida | MEDICAID | 004947000 |
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