Crisp, Constance

Crisp, Constance is an individual health care provider with primary practice located at 307 E Sevier St , Benton AR 72015-3934. She recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as her primary health care specialty. Crisp, Constance can be contacted via phone (501) 315-4224.

Contact Information

Primary practice address
307 E Sevier St Benton AR 72015-3934
Fax: (501) 776-0411
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X E-2030 Arkansas

Profile Details

NPI number 1255328134
LBN Legal business name Crisp, Constance
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 5th, 2005
Last updated Jul 19th, 2007 - about 15 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 1255328134 NPPES
Arkansas Other 5M198 BLUE CROSS BLUE SHIELD

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