Criscuolo, Christopher M

Criscuolo, Christopher M is an individual health care provider with primary practice located at 6901 N 72Nd St , Omaha NE 68122-1709. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Pain Medicine. Allopathic & Osteopathic Physicians / Pain Medicine is his primary health care specialty. Criscuolo, Christopher M can be contacted via phone (402) 572-2187.

Contact Information

Primary practice address
6901 N 72Nd St Omaha NE 68122-1709
Phone: (402) 572-2187
Fax: (402) 758-5746
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 18755 Nebraska
Allopathic & Osteopathic Physicians / Pain Medicine 207LP2900X 18755 Nebraska

Profile Details

NPI number 1518925114
LBN Legal business name Criscuolo, Christopher M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 3rd, 2006
Last updated Apr 19th, 2013 - 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 1518925114 NPPES
Nebraska MEDICAID 47078557501

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