Crisologo, Adam Benjamin
Crisologo, Adam Benjamin is an individual health care provider with primary practice located at 1912 Al Highway 157 , Cullman AL 35058-0609. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Student, Health Care / Student in an Organized Health Care Education/Training Program. Allopathic & Osteopathic Physicians / Anesthesiology is his primary health care specialty. Crisologo, Adam Benjamin can be contacted via phone (256) 737-2682.Contact Information
Primary practice address
1912 Al Highway 157
Cullman AL 35058-0609
Phone: (256) 737-2682
Fax: (256) 737-2849
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | ME162317 | Florida |
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | MD.48879 | Alabama |
Profile Details
| NPI number | 1023541588 |
|---|---|
| LBN Legal business name | Crisologo, Adam Benjamin |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 11th, 2017 |
| Last updated | Jul 12th, 2024 - about last year |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1023541588 | NPPES |
| Florida | MEDICAID | 118695400 |
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