Cromwell, Christopher Robin
Cromwell, Christopher Robin is an individual health care provider with primary practice located at 293 Nw Peacock Blvd Ste 201 , Port Saint Lucie FL 34986-2222. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Plastic Surgery, Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery. Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery is his primary health care specialty. Cromwell, Christopher Robin can be contacted via phone (772) 204-8870.Contact Information
Primary practice address
293 Nw Peacock Blvd Ste 201
Port Saint Lucie FL 34986-2222
Phone: (772) 204-8870
Fax: (772) 204-8873
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Plastic Surgery | 208200000X | 106293 | Florida |
| Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery | 2086S0122X | 200401193 | North Carolina |
| Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery | 2086S0122X | ME106293 | Florida |
Profile Details
| NPI number | 1629073382 |
|---|---|
| LBN Legal business name | Cromwell, Christopher Robin |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 17th, 2005 |
| Last updated | Mar 7th, 2023 - about last year |
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 | 1629073382 | NPPES |
| Other | 138JW | BCBS | |
| MEDICAID | 89138JW | BCBS |
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