Crismali, Nicholas C

Crismali, Nicholas C is an individual health care provider with primary practice located at 18151 Bear Valley Rd , Hesperia CA 92345-4907. He recently has 2 registered licenses in different health care specialties including Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, Podiatric Medicine & Surgery Service Providers / Podiatrist. Podiatric Medicine & Surgery Service Providers / Podiatrist is his primary health care specialty. Crismali, Nicholas C can be contacted via phone (760) 948-7400.

Contact Information

Primary practice address
18151 Bear Valley Rd Hesperia CA 92345-4907
Phone: (760) 948-7400
Fax: (760) 948-7866
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X E3433 California
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X E3433 California

Profile Details

NPI number 1255405882
LBN Legal business name Crismali, Nicholas C
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 17th, 2006
Last updated Feb 12th, 2020 - about 4 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 1255405882 NPPES
California MEDICAID 000E34330
California Other 480031711

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