Individual
DR. JAMES P CRESCUILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC CCSP
Contact information
Practice address
210 EAST CHESTNUT ST, MT VERNON, OH 43050
(740) 397-8025
(740) 397-8025
Mailing address
210 EAST CHESTNUT ST, MT VERNON, OH 43050
(740) 397-8025
(740) 397-8025
Taxonomy
Speciality
Code
Description
License number
State
111NS0005X
Sports Physician Chiropractor
Primary
1427
OH
111NS0005X
Sports Physician Chiropractor
4189
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0856944
—
OH
Enumeration date
01/29/2007
Last updated
07/08/2007
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