Bushong, Crystal Lynn

Bushong, Crystal Lynn is an sole proprietor health care provider with primary practice located at 2105 Demerse Ave , Prescott AZ 86301-1013. She recently has only one registered license in Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness, which is considered as her primary health care specialty. Bushong, Crystal Lynn can be contacted via phone (928) 717-8834.

Contact Information

Primary practice address
2105 Demerse Ave Prescott AZ 86301-1013
Phone: (928) 717-8834
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness 320800000X

Profile Details

NPI number 1508049230
LBN Legal business name Bushong, Crystal Lynn
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 17th, 2007
Last updated Dec 17th, 2007 - about 17 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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