Burrell, Cristy S

Burrell, Cristy S is an individual health care provider with primary practice located at 602 Sw 38Th St , Lawton OK 73505-6912. She recently has only one registered license in Other Service Providers / Peer Specialist, which is considered as her primary health care specialty. Burrell, Cristy S can be contacted via phone (580) 248-5780.

Contact Information

Primary practice address
602 Sw 38Th St Lawton OK 73505-6912
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Peer Specialist 175T00000X 73-6017987 Oklahoma

Profile Details

NPI number 1134680770
LBN Legal business name Burrell, Cristy S
Credentials FSP
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 27th, 2019
Last updated Mar 27th, 2019 - about 6 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 1134680770 NPPES
Oklahoma MEDICAID 73-6017987

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