Criswell, Jeffrey Scott

Criswell, Jeffrey Scott is an sole proprietor health care provider with primary practice located at 555 S 18Th St , Columbus OH 43205-2654. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Acute Care, Physician Assistants & Advanced Practice Nursing Providers / Pediatrics. Physician Assistants & Advanced Practice Nursing Providers / Pediatrics is his primary health care specialty. Criswell, Jeffrey Scott can be contacted via phone (614) 722-2000.

Contact Information

Primary practice address
555 S 18Th St Columbus OH 43205-2654
Phone: (614) 722-2000
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X APRN.CNP.021628 Ohio
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X APRN.CNP.021628 Ohio

Profile Details

NPI number 1295249555
LBN Legal business name Criswell, Jeffrey Scott
Credentials CPNP-AC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 24th, 2017
Last updated Feb 25th, 2022 - about 2 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 1295249555 NPPES
Ohio MEDICAID 0253909
Ohio Other H587890

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