Brian Dale Crispell in Philadelphia - Primary Podiatric Medicine

Brian Dale Crispell - NPI 1306806765

Brian Dale Crispell is a Primary Podiatric Medicine in Philadelphia, Pennsylvania. Brian Dale Crispell practices all healthcare services and medical treatments related to Primary Podiatric Medicine. The NPI Number for Brian Dale Crispell is 1306806765. The last update date is 2014-06-13.

Brian Dale Crispell's current location address is 2301 Green St, Philadelphia, Pennsylvania. You can contact this provider via phone number 6103347657. The mailing address for Brian Dale Crispell is 2301 Green St, Philadelphia, Pennsylvania. To know further, please read the information below!

Provider Profile Detail

Provider Name Brian Dale Crispell
Address 2301 Green St, Philadelphia, Pennsylvania
Phone Number 6103347657
Fax Number
Sole Proprietor Y
Credentials --

NPI Number Detail

NPI Number 1306806765
Provider Enumeration Date 2006-03-27
Last Updated Date 2014-06-13

Provider Mailing Address Detail

Address 2301 Green St
City Philadelphia
State Pennsylvania (PA)
Post Code 191303143
Phone Number 6103347657
Fax Number

Provider's Primary Taxonomy Detail

Speciality Primary Podiatric Medicine
Taxonomy 213Ep1101X
Licence No SC005698
Definition:
A doctor of podiatric medicine expert in general podiatry health services related to medical diagnoses and treatment of the foot, ankle and lower extremities.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
1015531700005 PA --
329832 PA MEDICARE PTAN

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FAQs about Brian Dale Crispell

What is the unique identifier code issued to Brian Dale Crispell by the Centers for Medicare & Medicaid Services (CMS)?

The Brian Dale Crispell has been assigned the NPI (National Provider Identifier) 1306806765. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you provide the complete address where Brian Dale Crispell is physically located?

The Brian Dale Crispell is situated at the following address: 2301 Green St, Philadelphia, PA 191303143.

What is Brian Dale Crispell's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Brian Dale Crispell is Primary Podiatric Medicine, and the taxonomy code that categorizes this field of expertise is 213Ep1101X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1306806765 to Brian Dale Crispell?

The Centers for Medicare & Medicaid Services originally issued the 1306806765 to Brian Dale Crispell on 2006-03-27.

As of what date was the information regarding Brian Dale Crispell, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Brian Dale Crispell, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2014-06-13.

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