Breshears, Crystal
Breshears, Crystal is an individual health care provider with primary practice located at 1101 E Monroe Ave , Mcalester OK 74501-4815. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Peer Specialist, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder). Other Service Providers / Peer Specialist is her primary health care specialty. Breshears, Crystal can be contacted via phone (918) 426-7805.Contact Information
Primary practice address
1101 E Monroe Ave
Mcalester OK 74501-4815
Phone: (918) 426-7805
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Other Service Providers / Peer Specialist | 175T00000X | ||
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X |
Profile Details
NPI number | 1154057040 |
---|---|
LBN Legal business name | Breshears, Crystal |
Credentials | |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jul 25th, 2022 |
Last updated | Jul 26th, 2022 - 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 | 1154057040 | NPPES |
Oklahoma | Other | 335098 | DEPARTMENT OF MENTAL HEALTH |
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