Clark, Crystal Jan
Clark, Crystal Jan is an sole proprietor health care provider with primary practice located at 9720 S Tacoma Way , Lakewood WA 98499-4456. She recently has only one registered license in Other Service Providers / Peer Specialist, which is considered as her primary health care specialty. Clark, Crystal Jan can be contacted via phone (253) 328-5862.Contact Information
Primary practice address
9720 S Tacoma Way
Lakewood WA 98499-4456
Phone: (253) 328-5862
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Peer Specialist | 175T00000X | Washington |
Profile Details
| NPI number | 1477037513 |
|---|---|
| LBN Legal business name | Clark, Crystal Jan |
| Credentials | CPC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 24th, 2018 |
| Last updated | Sep 24th, 2018 - about 7 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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