Crissman, Molly P
Crissman, Molly P is an individual health care provider with primary practice located at 15100 Whittaker Way , Grand Haven MI 49417-8696. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Crissman, Molly P can be contacted via phone (616) 935-6320.Contact Information
Primary practice address
15100 Whittaker Way
Grand Haven MI 49417-8696
Phone: (616) 935-6320
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 4301068764 | Michigan |
Profile Details
| NPI number | 1902808165 |
|---|---|
| LBN Legal business name | Crissman, Molly P |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 1st, 2005 |
| Last updated | Feb 24th, 2021 - about 3 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 | 1902808165 | NPPES |
| Michigan | MEDICAID | 3352508 |
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