Crist, Charles J

Crist, Charles J is an individual health care provider with primary practice located at 3085 Dr Martin Luther King St N , St Petersburg FL 33704-2034. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Crist, Charles J can be contacted via phone (727) 822-3238.

Contact Information

Primary practice address
3085 Dr Martin Luther King St N St Petersburg FL 33704-2034
Phone: (727) 822-3238
Fax: (727) 823-1278
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X ME9468 Florida

Profile Details

NPI number 1700889383
LBN Legal business name Crist, Charles J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 27th, 2005
Last updated Jul 8th, 2007 - about 19 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 1700889383 NPPES
Florida Other P00349497 RAILROAD MEDICARE NUMBER

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