James P Crescuillo in Mt Vernon - Sports Physician
James P Crescuillo - NPI 1780720847
James P Crescuillo is a Sports Physician in Mt Vernon, Ohio. James P Crescuillo practices all healthcare services and medical treatments related to Sports Physician. The NPI Number for James P Crescuillo is 1780720847. The last update date is 2007-07-08.
James P Crescuillo's current location address is 210 East Chestnut St, Mt Vernon, Ohio. You can contact this provider via phone number 7403978025 and fax number 7403978025. The mailing address for James P Crescuillo is 210 East Chestnut St, Mt Vernon, Ohio. To know further, please read the information below!
Provider Profile Detail
| Provider Name | James P Crescuillo |
|---|---|
| Address | 210 East Chestnut St, Mt Vernon, Ohio |
| Phone Number | 7403978025 |
| Fax Number | 7403978025 |
| Sole Proprietor | N |
| Credentials | DC CCSP |
NPI Number Detail
| NPI Number | 1780720847 |
|---|---|
| Provider Enumeration Date | 2007-01-29 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 210 East Chestnut St |
|---|---|
| City | Mt Vernon |
| State | Ohio (OH) |
| Post Code | 43050 |
| Phone Number | 7403978025 |
| Fax Number | 7403978025 |
Provider's Primary Taxonomy Detail
| Speciality | Sports Physician |
|---|---|
| Taxonomy | 111Ns0005X |
| Licence No | 1427 |
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Definition: A sports chiropractor is uniquely trained to provide care and treatment of injuries or illness resulting from sports and physical fitness activities. Doctors of Chiropractic with the Diplomate American Chiropractic Board of Sports Physicians (DACBSP) |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 856944 | OH | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to James P Crescuillo by the Centers for Medicare & Medicaid Services?
The James P Crescuillo has been assigned the NPI (National Provider Identifier) 1780720847 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please provide the complete street address where James P Crescuillo is physically located?
The James P Crescuillo is physically situated at the following address: 210 East Chestnut St, Mt Vernon, OH, 43050.
What is James P Crescuillo's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for James P Crescuillo is Sports Physician, and the taxonomy classification code that categorizes this area of expertise is 111Ns0005X.
On what date did the Centers for Medicare & Medicaid Services assign the 1780720847 to James P Crescuillo?
The Centers for Medicare & Medicaid Services assigned the 1780720847 to James P Crescuillo on 2007-01-29.
When was the James P Crescuillo's information last updated?
The James P Crescuillo's information was last updated on 2007-07-08.
NPI Number: 1518960137
Address: 161 Sherman Dr, St Johnsbury, VT