Crisalli, Joseph A

Crisalli, Joseph A is an individual health care provider with primary practice located at 2844 Index Rd , Fitchburg WI 53713-3117. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatric Pulmonology, Allopathic & Osteopathic Physicians / Sleep Medicine. Allopathic & Osteopathic Physicians / Sleep Medicine is his primary health care specialty. Crisalli, Joseph A can be contacted via phone (608) 229-7979.

Contact Information

Primary practice address
2844 Index Rd Fitchburg WI 53713-3117
Fax: (608) 229-8110
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Pulmonology 2080P0214X 0101265758 Virginia
Allopathic & Osteopathic Physicians / Sleep Medicine 2080S0012X 0101265758 Virginia
Allopathic & Osteopathic Physicians / Sleep Medicine 207RS0012X 72867-20 Wisconsin

Profile Details

NPI number 1417987736
LBN Legal business name Crisalli, Joseph A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 3rd, 2006
Last updated Nov 6th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1417987736 NPPES
Wisconsin MEDICAID 1417987736

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