MR. KEITH ALAN CRITTENDEN SR. (NPI# 1003196254) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003196254 |
| Entity Type | Individual |
| Full Name | MR. KEITH ALAN CRITTENDEN SR. |
| Credential | ARRT R (R)(CT) |
| Practice Address |
2404 Husak Rd Standish MI 48658-9123 |
| Practice Telephone | 9899035142 |
| Mailing Telephone | 9899035142 |
| Enumeration Date | 2011-08-19 |
| Last Update Date | 2011-08-19 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2471C3401X |
Radiologic Technologist Specialization: Computed Tomography |
CRT-15680 | AZ | Technologists, Technicians & Other Technical Service Providers |
| Street Address |
2404 HUSAK RD |
| City | STANDISH |
| State | MI |
| Zip Code | 48658-9123 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972136810 | Gregory John Haven | Behavioral Analyst | 2737 Deep River Road, Standish, MI 48658 | 2020-02-19 |
| 1568797579 | Mallori Ann Dzurka | Dietitian, Registered | 805 W. Cedar, Standish, MI 48658 | 2009-10-08 |
| 1548497399 | St. Mary's of Michigan | General Acute Care Hospital | 805 West Cedar, Standish, MI 48658 | 2009-06-19 |
| 1043479801 | Jeffrey S. Kimball, D.c. | Chiropractor | 401 E. Cedar St., Standish, MICHIGAN 48658 | 2008-06-06 |
| 1356549414 | Benjamin E Brummer | Dentist | 116 N Main, Standish, MI 48658 | 2007-07-10 |
| 1568580272 | Muhammed R Mirza Md | Internal Medicine | 805 W Cedar Street, Standish, MI 48658 | 2007-03-27 |
| 1619020856 | Bay Human Services Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 125 S Forest Street, Standish, MI 48658 | 2007-01-19 |
| 1659480457 | Standish Rehabilitation Center Inc | Physical Medicine & Rehabilitation | 529 S Main St, Suite G, Standish, MI 48658 | 2006-08-29 |
| 1437690419 | James Spegel | Social Worker | 1000 W Cedar St, Standish, MI 48658 | 2017-03-10 |
| 1548528086 | Stacey Anne Williamson | Nurse Practitioner | 805 W Cedar St, Standish, MI 48658 | 2012-05-02 |
| Find all providers in zip 48658 | ||||
| Taxonomy Code | 2471C3401X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Radiologic Technologist |
| Specialization | Computed Tomography |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396025821 | Beth H. Revard | Radiologic Technologist | 38878 Polo Club Dr, Apt #102, Farmington Hills, MI 48335-5612 | 2011-08-29 |
| 1992850226 | Chad Jason Eschliman | Radiologic Technologist | 33285 Spoonbill Ave, Brownstown, MI 48173 | 2007-01-25 |
Please comment or provide details below to improve the information on MR. KEITH ALAN CRITTENDEN SR..
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.