Crisenbery, Marc M.

Crisenbery, Marc M. is an individual health care provider with primary practice located at 3000 Arlington Ave , Toledo OH 43614-2595. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as his primary health care specialty. Crisenbery, Marc M. can be contacted via phone (419) 383-3578.

Contact Information

Primary practice address
3000 Arlington Ave Toledo OH 43614-2595
Fax: (419) 383-3095
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X RN239720 Ohio

Profile Details

NPI number 1881618841
LBN Legal business name Crisenbery, Marc M.
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 26th, 2006
Last updated Dec 10th, 2008 - about 18 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 1881618841 NPPES
Ohio MEDICAID 2451252

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