Crismon, Craig E.

Crismon, Craig E. is an individual health care provider with primary practice located at 511 14Th Ave Ne , Watertown SD 57201-6811. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Crismon, Craig E. can be contacted via phone (605) 886-8482.

Contact Information

Primary practice address
511 14Th Ave Ne Watertown SD 57201-6811
Phone: (605) 886-8482
Fax: (605) 884-4300
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 3693 South Dakota

Profile Details

NPI number 1396702882
LBN Legal business name Crismon, Craig E.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 27th, 2006
Last updated May 17th, 2022 - about 3 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 1396702882 NPPES
South Dakota MEDICAID 6701053

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