Crucitt, Michael Anthony

Crucitt, Michael Anthony is an individual health care provider with primary practice located at 5525 Grossmont Center Dr , La Mesa CA 91942-3009. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology & Oncology, which is considered as his primary health care specialty. Crucitt, Michael Anthony can be contacted via phone (619) 644-6750.

Contact Information

Primary practice address
5525 Grossmont Center Dr La Mesa CA 91942-3009
Phone: (619) 644-6750
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X C39374 California

Profile Details

NPI number 1588674741
LBN Legal business name Crucitt, Michael Anthony
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 9th, 2006
Last updated Jul 8th, 2007 - about 18 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 1588674741 NPPES
California MEDICAID 00C393740

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