Crickellas, Peter

Crickellas, Peter is an sole proprietor health care provider with primary practice located at 24 Lyons Pl , Springfield NJ 07081-1604. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, which is considered as his primary health care specialty. Crickellas, Peter can be contacted via phone (973) 912-8095.

Contact Information

Primary practice address
24 Lyons Pl Springfield NJ 07081-1604
Phone: (973) 912-8095
Fax: (973) 912-8095
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X New Jersey

Profile Details

NPI number 1174672869
LBN Legal business name Crickellas, Peter
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 10th, 2007
Last updated Jun 10th, 2024 - about 6 months 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 1174672869 NPPES
New York MEDICAID 00919782

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