Crossman, Michael William

Crossman, Michael William is an sole proprietor health care provider with primary practice located at 676 Strawberry Hill Ct , Covington KY 41017-9647. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Crossman, Michael William can be contacted via phone (513) 702-3746.

Contact Information

Primary practice address
676 Strawberry Hill Ct Covington KY 41017-9647
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 34515 Kentucky

Profile Details

NPI number 1659364404
LBN Legal business name Crossman, Michael William
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 26th, 2005
Last updated Dec 4th, 2020 - about 5 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 1659364404 NPPES
Kentucky MEDICAID 64961592

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