Crider, Michael David

Crider, Michael David is an individual health care provider with primary practice located at 900 Hospital Dr , Madisonville KY 42431-1653. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Crider, Michael David can be contacted via phone (270) 825-5100.

Contact Information

Primary practice address
900 Hospital Dr Madisonville KY 42431-1653
Phone: (270) 825-5100
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 44980 Kentucky

Profile Details

NPI number 1053509265
LBN Legal business name Crider, Michael David
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 12th, 2007
Last updated Jan 8th, 2015 - about 9 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 1053509265 NPPES
Kentucky Other 000000540250 BCBS
Kentucky MEDICAID 7100015430 BCBS
Kentucky Other 1096338 BCBS
Kentucky Other 5340A BCBS

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