Criss, Erica P

Criss, Erica P is an individual health care provider with primary practice located at 5 Lugwig Drive , Fairview Heights IL 62208. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Criss, Erica P can be contacted via phone (618) 397-9000.

Contact Information

Primary practice address
5 Lugwig Drive Fairview Heights IL 62208
Phone: (618) 397-9000
Fax: (618) 397-9003
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 2010036627 Missouri
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 209007255 Illinois

Profile Details

NPI number 1780834747
LBN Legal business name Criss, Erica P
Credentials Advanced Practice Nurse (APN)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 26th, 2008
Last updated May 10th, 2018 - about 7 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 1780834747 NPPES
Missouri MEDICAID 1780834747

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