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Contact Information

PETER A CRISOLOGO, MD
1912 ALABAMA HWY 157
CULLMAN REGIONAL MEDICAL CENTER
CULLMAN, AL35058-0000
 Phone: 256-737-2637
 Fax: 256-734-6257
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Anesthesiology

207L00000X 79 Physician/Addiction Medicine
Indicates primary specialty

NPI Profile & details for PETER A CRISOLOGO · (Male)

NPI Number 1194709550
Status Active
Credentials MD
Entity Individual
Enumeration date 11/30/2005
Last updated 09/08/2017 - About 9 years ago
Sole proprietor 1 No
Identifiers
  • AL License # MD.14016
  • AL Medicaid 000086833
  • Other 051086833 BLUE CROSS BLUE SHIELD
  • Other 2777 HEALTH STRATEGIES INC
  • Other 631003288 TRICARE (GROUP)
  • AL Other 2777 HEALTHSPRING OF ALABAMA
Hospital affiliation(s)
  • CULLMAN REGIONAL MEDICAL CENTER - (Acute Care)
    1912 ALABAMA HIGHWAY 157
    CULLMAN, AL 35058
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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