Criswell, Bryan K
Criswell, Bryan K is an individual health care provider with primary practice located at 14835 Ballantyne Village Way Ste 210 , Charlotte NC 28277. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery. Allopathic & Osteopathic Physicians / Surgery is his primary health care specialty. Criswell, Bryan K can be contacted via phone (704) 424-5050.Contact Information
Primary practice address
14835 Ballantyne Village Way Ste 210
Charlotte NC 28277
Phone: (704) 424-5050
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 036115698 | Illinois |
| Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery | 2086S0122X | 036115698 | Illinois |
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 261168690 | North Carolina |
Profile Details
| NPI number | 1487667267 |
|---|---|
| LBN Legal business name | Criswell, Bryan K |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 14th, 2006 |
| Last updated | Aug 16th, 2019 - 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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