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Contact Information

CRYSTAL CITY EMERGENCY SERVICES, LLC
HIGHWAY 61 SOUTH
CRYSTAL CITY, MO63019
 Phone: 636-933-1000
 Fax: 904-805-1302
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nurse Practitioner

363L00000X 50 Nurse Practitioner
 

Emergency Medicine

207P00000X 93 Physician/Emergency Medicine
 

Physician Assistant

363A00000X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for CRYSTAL CITY EMERGENCY SERVICES LLC · (Female)

NPI Number 1801844618
Status Active
Credentials
Entity Individual
Enumeration date 05/04/2006
Last updated 09/11/2025 - About 9 months ago
Sole proprietor 1 Not specified
Identifiers
  • MO Other 124884 BLUE CROSS & BLUE SHIELD
  • MO Other 426403 HEALTHLINK
  • MO Other 137529 UMWA
Hospital affiliation(s) Not Available
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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