Criswell, Michael E

Criswell, Michael E is an individual health care provider with primary practice located at 1500 Salem St , Lafayette IN 47904-2164. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical-Surgical, which is considered as his primary health care specialty. Criswell, Michael E can be contacted via phone (765) 448-8000.

Contact Information

Primary practice address
1500 Salem St Lafayette IN 47904-2164
Phone: (765) 448-8000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical-Surgical 364SM0705X 28074750A Indiana

Profile Details

NPI number 1679977128
LBN Legal business name Criswell, Michael E
Credentials Clinical Nurse Specialist (CNS)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 13th, 2014
Last updated Dec 3rd, 2020 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1679977128 NPPES
Indiana Other 000000905209 ANTHEM PROVIDER NUMBER
Indiana MEDICAID 201262580 ANTHEM PROVIDER NUMBER

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