Collins, Krystal

Collins, Krystal is an sole proprietor health care provider with primary practice located at 21010 S 220Th Pl , Queen Creek AZ 85142-5583. She recently has only one registered license in Residential Treatment Facilities / Residential Treatment Facility, Emotionally Disturbed Children, which is considered as her primary health care specialty. Collins, Krystal can be contacted via phone (602) 502-2388.

Contact Information

Primary practice address
21010 S 220Th Pl Queen Creek AZ 85142-5583
Phone: (602) 502-2388
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Residential Treatment Facility, Emotionally Disturbed Children 322D00000X 514514 Arizona

Profile Details

NPI number 1477979607
LBN Legal business name Collins, Krystal
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 12th, 2014
Last updated Mar 12th, 2014 - about 10 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 1477979607 NPPES
Arizona Other 5807215 PROFESSIONAL FOSTER PARENT

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