Birchfield, Crystal

Birchfield, Crystal is an individual health care provider with primary practice located at 1101 12Th Ave Nw , Ardmore OK 73401-5736. She recently has only one registered license in Other Service Providers / Peer Specialist, which is considered as her primary health care specialty. Birchfield, Crystal can be contacted via phone (580) 798-4523.

Contact Information

Primary practice address
1101 12Th Ave Nw Ardmore OK 73401-5736
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Peer Specialist 175T00000X

Profile Details

NPI number 1558870287
LBN Legal business name Birchfield, Crystal
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 26th, 2017
Last updated Sep 26th, 2017 - about 8 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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Identifiers

StateTypeNumberIssuer
All States NPI 1558870287 NPPES
Colorado Other 071381109 DRIVERS LICENCE

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