Crisostomo, Ralph
Crisostomo, Ralph is an individual health care provider with primary practice located at 975 Sereno Dr Spine Clinic H31, Vallejo CA 94589-2441. He recently has only one registered license in Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, which is considered as his primary health care specialty. Crisostomo, Ralph can be contacted via phone (707) 651-1000.Contact Information
Primary practice address
975 Sereno Dr Spine Clinic H31
Vallejo CA 94589-2441
Phone: (707) 651-1000
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation | 208100000X | A104669 | California |
Profile Details
| NPI number | 1144292525 |
|---|---|
| LBN Legal business name | Crisostomo, Ralph |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 1st, 2006 |
| Last updated | Dec 13th, 2021 - about 3 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1144292525 | NPPES |
| Minnesota | MEDICAID | 356952700 |
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