Crisham, Joseph Martin

Crisham, Joseph Martin is an individual health care provider with primary practice located at 122 East Everett St , Dixon IL 61021. He recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / Orthodontics and Dentofacial Orthopedics. Dental Providers / Dentist is his primary health care specialty. Crisham, Joseph Martin can be contacted via phone (815) 284-6676.

Contact Information

Primary practice address
122 East Everett St Dixon IL 61021
Phone: (815) 284-6676
Fax: (815) 284-8667
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X Illinois
Dental Providers / Orthodontics and Dentofacial Orthopedics 1223X0400X Illinois

Profile Details

NPI number 1952422651
LBN Legal business name Crisham, Joseph Martin
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 2nd, 2007
Last updated Jul 8th, 2007 - about 17 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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