Critchlow, John Thomas

Critchlow, John Thomas is an individual health care provider with primary practice located at 3065 William St Suite 105, Cape Girardeau MO 63703-6393. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Critchlow, John Thomas can be contacted via phone (573) 651-1882.

Contact Information

Primary practice address
3065 William St Suite 105 Cape Girardeau MO 63703-6393
Fax: (573) 334-5302
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X R6605 Missouri

Profile Details

NPI number 1326108945
LBN Legal business name Critchlow, John Thomas
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 12th, 2006
Last updated Jun 20th, 2012 - about 12 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 1326108945 NPPES
Missouri MEDICAID 201100237

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