Cruz, Christopher
Cruz, Christopher is an individual health care provider with primary practice located at 17 Ginger Creek Mdws , Glen Carbon IL 62034-3508. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Cruz, Christopher can be contacted via phone (800) 968-6866.Contact Information
Primary practice address
17 Ginger Creek Mdws
Glen Carbon IL 62034-3508
Phone: (800) 968-6866
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 036070136 | Illinois |
Profile Details
| NPI number | 1427043769 |
|---|---|
| LBN Legal business name | Cruz, Christopher |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 13th, 2005 |
| Last updated | Feb 2nd, 2010 - about 14 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1427043769 | NPPES |
| Illinois | MEDICAID | 036070138 | |
| Illinois | MEDICAID | 1427043769 |
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