Addison, Crystal Charmayne
Addison, Crystal Charmayne is an sole proprietor health care provider with primary practice located at 300 W Mcnichols Rd , Detroit MI 48203-2703. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Addison, Crystal Charmayne can be contacted via phone (313) 867-8015.Contact Information
Primary practice address
300 W Mcnichols Rd
Detroit MI 48203-2703
Phone: (313) 867-8015
Fax: (313) 867-8040
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X |
Profile Details
| NPI number | 1013584580 |
|---|---|
| LBN Legal business name | Addison, Crystal Charmayne |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 4th, 2021 |
| Last updated | Jun 4th, 2021 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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