Criswell, Dan F
Criswell, Dan F is an individual health care provider with primary practice located at 2601 W Elk Ave , Duncan OK 73533-1572. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Addiction Medicine. Allopathic & Osteopathic Physicians / Addiction Medicine is his primary health care specialty. Criswell, Dan F can be contacted via phone (580) 251-6644.Contact Information
Primary practice address
2601 W Elk Ave
Duncan OK 73533-1572
Phone: (580) 251-6644
Fax: (580) 251-6645
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 12155 | Oklahoma |
Allopathic & Osteopathic Physicians / Addiction Medicine | 207QA0401X | 12155 | Oklahoma |
Profile Details
NPI number | 1043250103 |
---|---|
LBN Legal business name | Criswell, Dan F |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 7th, 2006 |
Last updated | Dec 9th, 2019 - about 5 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 | 1043250103 | NPPES |
Oklahoma | MEDICAID | 100088900E |
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