Crissey, Michael

Crissey, Michael is an individual health care provider with primary practice located at 1644 Medical Center Pt Ste 200 , Colorado Springs CO 80907. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Crissey, Michael can be contacted via phone (719) 634-1994.

Contact Information

Primary practice address
1644 Medical Center Pt Ste 200 Colorado Springs CO 80907
Phone: (719) 634-1994
Fax: (719) 634-2906
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X 18103 Colorado

Profile Details

NPI number 1760480008
LBN Legal business name Crissey, Michael
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 11th, 2005
Last updated May 29th, 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 1760480008 NPPES
Colorado MEDICAID 01181031

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