Blankenship, Crystal Lynn

Blankenship, Crystal Lynn is an sole proprietor health care provider with primary practice located at 1200 W Avon Blvd , Avon Park FL 33825-8343. She recently has only one registered license in Other Service Providers / Homeopath, which is considered as her primary health care specialty. Blankenship, Crystal Lynn can be contacted via phone (863) 440-1535.

Contact Information

Primary practice address
1200 W Avon Blvd Avon Park FL 33825-8343
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Homeopath 175L00000X MA59595 Florida

Profile Details

NPI number 1831406644
LBN Legal business name Blankenship, Crystal Lynn
Credentials MASSAGE THERAPIST
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 1st, 2010
Last updated Sep 1st, 2010 - about 14 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 1831406644 NPPES
Florida Other MA 59550 MASSAGE STATE ID

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