Clark, Krystal

Clark, Krystal is an individual health care provider with primary practice located at 6960 Erie Dr , Maineville OH 45039-5105. She recently has only one registered license in Allopathic & Osteopathic Physicians / Nuclear Medicine, which is considered as her primary health care specialty. Clark, Krystal can be contacted via phone (513) 240-2892.

Contact Information

Primary practice address
6960 Erie Dr Maineville OH 45039-5105
Phone: (513) 240-2892
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nuclear Medicine 207U00000X 560296 Ohio
Allopathic & Osteopathic Physicians / Nuclear Medicine 207U00000X 040877 Ohio

Profile Details

NPI number 1609385566
LBN Legal business name Clark, Krystal
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 22nd, 2017
Last updated Sep 22nd, 2017 - about 8 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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