Criswell, Marshall James

Criswell, Marshall James is an individual health care provider with primary practice located at 2600 Greenbush St , Lafayette IN 47904-2477. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Student, Health Care / Student in an Organized Health Care Education/Training Program. Allopathic & Osteopathic Physicians / Pediatrics is his primary health care specialty. Criswell, Marshall James can be contacted via phone (765) 448-8000.

Contact Information

Primary practice address
2600 Greenbush St Lafayette IN 47904-2477
Phone: (765) 448-8000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 01075036A Indiana
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X

Profile Details

NPI number 1508132440
LBN Legal business name Criswell, Marshall James
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 26th, 2012
Last updated Feb 1st, 2021 - about 4 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1508132440 NPPES
Indiana MEDICAID 201283840
Indiana Other 000000939535

Popular Providers