Boylen, Crystal R

Boylen, Crystal R is an individual health care provider with primary practice located at 1221 Whipple St , Eau Claire WI 54703-5270. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as her primary health care specialty. Boylen, Crystal R can be contacted via phone (715) 838-3305.

Contact Information

Primary practice address
1221 Whipple St Eau Claire WI 54703-5270
Phone: (715) 838-3305
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X 2957 Wisconsin

Profile Details

NPI number 1689753220
LBN Legal business name Boylen, Crystal R
Credentials Occupational Therapist (OT)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 3rd, 2006
Last updated Apr 21st, 2009 - about 15 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 1689753220 NPPES
Wisconsin MEDICAID 40808900
Wisconsin Other 1015400

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