Bonner, Crystal L
Bonner, Crystal L is an sole proprietor health care provider with primary practice located at 2546 Kenton St , Springfield OH 45505-3353. She recently has only one registered license in Agencies / Home Health, which is considered as her primary health care specialty. Bonner, Crystal L can be contacted via phone (937) 536-9481.Contact Information
Primary practice address
2546 Kenton St
Springfield OH 45505-3353
Phone: (937) 536-9481
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Agencies / Home Health | 251E00000X |
Profile Details
| NPI number | 1689336638 |
|---|---|
| LBN Legal business name | Bonner, Crystal L |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 7th, 2021 |
| Last updated | Oct 7th, 2021 - about 3 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1689336638 | NPPES |
| Ohio | Other | 1203610 | DODD CERTIFICATION |
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