Crispin, Julie D
Crispin, Julie D is an individual health care provider with primary practice located at 1800 Se Tiffany Ave , Port St Lucie FL 34952-7521. She recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as her primary health care specialty. Crispin, Julie D can be contacted via phone (772) 398-3770.Contact Information
Primary practice address
1800 Se Tiffany Ave
Port St Lucie FL 34952-7521
Phone: (772) 398-3770
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | ME62172 | Florida |
Profile Details
| NPI number | 1598719908 |
|---|---|
| LBN Legal business name | Crispin, Julie D |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 20th, 2006 |
| Last updated | Aug 8th, 2009 - about 15 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 | 1598719908 | NPPES |
| Florida | MEDICAID | 378824500 |
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