Critchlow, Michael Edward

Critchlow, Michael Edward is an sole proprietor health care provider with primary practice located at 1012 N Main St , Sikeston MO 63801-5044. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Allergy & Immunology, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Critchlow, Michael Edward can be contacted via phone (573) 471-0330.

Contact Information

Primary practice address
1012 N Main St Sikeston MO 63801-5044
Phone: (573) 471-0330
Fax: (573) 472-2966
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Allergy & Immunology 207K00000X 25720 Missouri
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X R8486 Missouri

Profile Details

NPI number 1720079841
LBN Legal business name Critchlow, Michael Edward
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 31st, 2005
Last updated May 18th, 2010 - 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 1720079841 NPPES
Missouri MEDICAID 200384220

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