Crisp, Vernon Wesley
Crisp, Vernon Wesley is an individual health care provider with primary practice located at 4530 E Muirwood Dr Suite 110, Phoenix AZ 85048-7639. He recently has only one registered license in Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, which is considered as his primary health care specialty. Crisp, Vernon Wesley can be contacted via phone (480) 763-5808.Contact Information
Primary practice address
4530 E Muirwood Dr Suite 110
Phoenix AZ 85048-7639
Phone: (480) 763-5808
Fax: (480) 759-0647
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation | 208100000X | 47184 | Minnesota |
| Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation | 208100000X | 4375 | Arizona |
| Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation | 208100000X | OS 9787 | Florida |
| Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation | 208100000X | 05395 | Georgia |
Profile Details
| NPI number | 1174502207 |
|---|---|
| LBN Legal business name | Crisp, Vernon Wesley |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 17th, 2006 |
| Last updated | Jan 13th, 2010 - about 16 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 | 1174502207 | NPPES |
| Minnesota | MEDICAID | 348620600 |
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