Crider, Ethan
Crider, Ethan is an individual health care provider with primary practice located at 1 Hospital Dr , Columbia MO 65212-1000. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Ophthalmology. Allopathic & Osteopathic Physicians / Ophthalmology is his primary health care specialty. Crider, Ethan can be contacted via phone (573) 884-9066.Contact Information
Primary practice address
1 Hospital Dr
Columbia MO 65212-1000
Phone: (573) 884-9066
Fax: (573) 884-3037
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 2016017341 | Missouri |
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | 2016017341 | Missouri |
Profile Details
| NPI number | 1326498437 |
|---|---|
| LBN Legal business name | Crider, Ethan |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 20th, 2016 |
| Last updated | May 28th, 2020 - about 5 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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