Crispell, Carolyn Diane

Crispell, Carolyn Diane is an individual health care provider with primary practice located at 33-57 Harrison St , Johnson City NY 13790-2107. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hospitalist, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is her primary health care specialty. Crispell, Carolyn Diane can be contacted via phone (607) 763-6622.

Contact Information

Primary practice address
33-57 Harrison St Johnson City NY 13790-2107
Phone: (607) 763-6622
Fax: (607) 763-5064
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 239067 New York
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X R7696 Texas
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 239067 New York

Profile Details

NPI number 1306069265
LBN Legal business name Crispell, Carolyn Diane
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 10th, 2007
Last updated Aug 28th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1306069265 NPPES
New York MEDICAID 02886620

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