Krinochkin, Olexandr Sergeyevich
Krinochkin, Olexandr Sergeyevich is an individual health care provider with primary practice located at 1235 E Cherokee St , Springfield MO 65804-2203. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Critical Care Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Krinochkin, Olexandr Sergeyevich can be contacted via phone (417) 820-6569.Contact Information
Primary practice address
1235 E Cherokee St
Springfield MO 65804-2203
Phone: (417) 820-6569
Fax: (417) 820-6720
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | MED-PHYS-LIC-102786 | Montana |
| Allopathic & Osteopathic Physicians / Critical Care Medicine | 207RC0200X | 2005019902 | Missouri |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 2005019902 | Missouri |
Profile Details
| NPI number | 1912971318 |
|---|---|
| LBN Legal business name | Krinochkin, Olexandr Sergeyevich |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 14th, 2006 |
| Last updated | Feb 25th, 2022 - about 2 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 | 1912971318 | NPPES |
| Minnesota | Other | 431560263 | TRICARE |
| Minnesota | MEDICAID | 1912971318 | TRICARE |
| Minnesota | Other | P00954935 | TRICARE |
| Minnesota | MEDICAID | 188251001 | TRICARE |
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