Brooks, Crystal Ann
Brooks, Crystal Ann is an sole proprietor health care provider with primary practice located at 709 Champagnolle Rd , El Dorado AR 71730-4735. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Brooks, Crystal Ann can be contacted via phone (937) 510-6317.Contact Information
Primary practice address
709 Champagnolle Rd
El Dorado AR 71730-4735
Phone: (937) 510-6317
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 56355 | Texas |
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 13103-C | Arkansas |
Profile Details
| NPI number | 1689356495 |
|---|---|
| LBN Legal business name | Brooks, Crystal Ann |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 1st, 2023 |
| Last updated | Aug 1st, 2023 - 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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