Crisp, Jonathan G
Crisp, Jonathan G is an individual health care provider with primary practice located at One Hospital Dr , Columbia MO 65212-0001. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medical Services, Allopathic & Osteopathic Physicians / Emergency Medicine. Allopathic & Osteopathic Physicians / Emergency Medicine is his primary health care specialty. Crisp, Jonathan G can be contacted via phone (573) 884-4400.Contact Information
Primary practice address
One Hospital Dr
Columbia MO 65212-0001
Phone: (573) 884-4400
Fax: (573) 884-5994
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medical Services | 207PE0004X | A95667 | California |
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 2017032649 | Missouri |
Profile Details
| NPI number | 1790988350 |
|---|---|
| LBN Legal business name | Crisp, Jonathan G |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 8th, 2007 |
| Last updated | Feb 12th, 2018 - about 6 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 | 1790988350 | NPPES |
| California | MEDICAID | 00A956670 |
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