Crist, John A

Crist, John A is an individual health care provider with primary practice located at 1443 Lakeland Hills Blvd , Lakeland FL 33805-3206. He recently has 2 registered licenses in different health care specialties including Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, Podiatric Medicine & Surgery Service Providers / Podiatrist. Podiatric Medicine & Surgery Service Providers / Podiatrist is his primary health care specialty. Crist, John A can be contacted via phone (863) 686-6200.

Contact Information

Primary practice address
1443 Lakeland Hills Blvd Lakeland FL 33805-3206
Phone: (863) 686-6200
Fax: (813) 752-0093
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X PO 1768 Florida
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X PO 1768 Florida

Profile Details

NPI number 1174675409
LBN Legal business name Crist, John A
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 17th, 2007
Last updated Feb 22nd, 2024 - about 2 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 1174675409 NPPES
Florida Other 201805 STAYWELL PIN
Florida Other 480012416 STAYWELL PIN
Florida Other 593105185 STAYWELL PIN

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