Crispen, Paul Luther
Crispen, Paul Luther is an individual health care provider with primary practice located at 1600 Sw Archer Rd , Gainesville FL 32610-3003. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Crispen, Paul Luther can be contacted via phone (352) 273-7537.Contact Information
Primary practice address
1600 Sw Archer Rd
Gainesville FL 32610-3003
Phone: (352) 273-7537
Fax: (859) 323-1944
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Urology | 208800000X | 49958 | Minnesota |
| Allopathic & Osteopathic Physicians / Urology | 208800000X | 42809 | Kentucky |
| Allopathic & Osteopathic Physicians / Urology | 208800000X | ME115276 | Florida |
Profile Details
| NPI number | 1972793396 |
|---|---|
| LBN Legal business name | Crispen, Paul Luther |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 1st, 2007 |
| Last updated | Aug 19th, 2013 - about 11 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 | 1972793396 | NPPES |
| Florida | MEDICAID | 008616900 | |
| Florida | MEDICAID | 262123000 | |
| Florida | Other | P00632037 |
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