Krisch, Evan B

Krisch, Evan B is an individual health care provider with primary practice located at 2090 Springdale Rd Ste D , Cherry Hill NJ 08003-2024. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Krisch, Evan B can be contacted via phone (877) 388-2778.

Contact Information

Primary practice address
2090 Springdale Rd Ste D Cherry Hill NJ 08003-2024
Phone: (877) 388-2778
Fax: (856) 751-2454
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X 25MA05324200 New Jersey

Profile Details

NPI number 1588621189
LBN Legal business name Krisch, Evan B
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 27th, 2006
Last updated Mar 7th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1588621189 NPPES
New Jersey MEDICAID 2170604

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