Crivelli, Justin J

Crivelli, Justin J is an individual health care provider with primary practice located at 30575 Bainbridge Rd , Solon OH 44139. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Crivelli, Justin J can be contacted via phone (440) 542-5000.

Contact Information

Primary practice address
30575 Bainbridge Rd Solon OH 44139
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X DO2455 Maine
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 34.010674 Ohio

Profile Details

NPI number 1134426398
LBN Legal business name Crivelli, Justin J
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 23rd, 2011
Last updated May 10th, 2019 - about 6 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 1134426398 NPPES
Maine MEDICAID 1134426398

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