Black, Crista

Black, Crista is an sole proprietor health care provider with primary practice located at 595 S 7Th St , Coos Bay OR 97420-1301. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist, which is considered as her primary health care specialty. Black, Crista can be contacted via phone (541) 266-7543.

Contact Information

Primary practice address
595 S 7Th St Coos Bay OR 97420-1301
Phone: (541) 266-7543
Fax: (541) 808-3525
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist 225700000X 22830 Oregon

Profile Details

NPI number 1891244984
LBN Legal business name Black, Crista
Credentials LMT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 29th, 2016
Last updated Sep 29th, 2016 - about 9 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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