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Marshall James Criswell
Student in an Organized Health Care Education/Training Program in Lafayette, Indiana
NPI 1508132440

Marshall James Criswell is a Student in an Organized Health Care Education/Training Program based in Muncie, IN. Marshall James Criswell practices in Lafayette, IN. The NPI Number for Marshall James Criswell is 1508132440 and holds a License No. 01075036A (Indiana).

The current practice location address for Marshall James Criswell is 2600 Greenbush St, Lafayette, IN and can be reached out via phone at 765-448-8000.

Location: 2600 Greenbush St, Lafayette, IN, 47303-4988
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1508132440
Provider Name
Marshall James Criswell
Credential
Provider Entity Type
Individual
Gender
Male
Address
2600 Greenbush St, Lafayette, IN, 47303-4988
Phone Number
765-448-8000
Fax Number
Provider Enumeration Date
03/26/2012
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
201283840 05 IN
000000939535 01 IN ANTHEM PROVIDER NUMBER
institution
Provider Business Practice Location Address Details
Address
2600 Greenbush St
City
Lafayette
State
Indiana
Zip
47904-2477
Phone Number
765-448-8000
Fax Number
person
Provider Business Mailing Address Details
Address
2600 Greenbush St
City
Lafayette
State
Indiana
Zip
47904-2477
Phone Number
765-448-8000
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Pediatrics
Speciality
-
Taxonomy
208000000X
License No.
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Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
01075036A (Indiana)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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