Kritzmire, Stacy M
Kritzmire, Stacy M is an individual health care provider with primary practice located at 705 Riley Hospital Dr, Ri 2001 , Indianapolis IN 46202-5128. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatric Anesthesiology, Allopathic & Osteopathic Physicians / Anesthesiology. Allopathic & Osteopathic Physicians / Pediatric Anesthesiology is her primary health care specialty. Kritzmire, Stacy M can be contacted via phone (317) 944-9981.Contact Information
Primary practice address
705 Riley Hospital Dr, Ri 2001
Indianapolis IN 46202-5128
Phone: (317) 944-9981
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Pediatric Anesthesiology | 207LP3000X | 02002593 | Indiana |
Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 02002593 | Indiana |
Profile Details
NPI number | 1699726604 |
---|---|
LBN Legal business name | Kritzmire, Stacy M |
Credentials | Doctor of Osteopathy (DO) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | May 14th, 2006 |
Last updated | Nov 30th, 2020 - about 4 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 | 1699726604 | NPPES |
Indiana | MEDICAID | 200459280 |
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