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
Fax: (727) 588-2447
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1740459031 NPPES
Florida MEDICAID 004947000

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