Bolos, Crystal Anne
Bolos, Crystal Anne is an individual health care provider with primary practice located at 6300 22 Mile Rd Ste 2 , Shelby Township MI 48317-2106. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Bolos, Crystal Anne can be contacted via phone (586) 726-9860.Contact Information
Primary practice address
6300 22 Mile Rd Ste 2
Shelby Township MI 48317-2106
Phone: (586) 726-9860
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 2021100905 | Michigan |
Profile Details
| NPI number | 1891447298 |
|---|---|
| LBN Legal business name | Bolos, Crystal Anne |
| Credentials | FNP-BC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 26th, 2022 |
| Last updated | Jan 26th, 2022 - about 2 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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