Craft-Maynor, Michelene
Craft-Maynor, Michelene is an individual health care provider with primary practice located at 400 Camarillo Tecate Suite 106, Camarillo CA 93012. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Hand, which is considered as her primary health care specialty. Craft-Maynor, Michelene can be contacted via phone (805) 445-1222.Contact Information
Primary practice address
400 Camarillo Tecate Suite 106
Camarillo CA 93012
Phone: (805) 445-1222
Fax: (805) 445-1297
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Hand | 225XH1200X | OT1271 | California |
Profile Details
NPI number | 1407981657 |
---|---|
LBN Legal business name | Craft-Maynor, Michelene |
Credentials | OTRL, CHT |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Feb 21st, 2007 |
Last updated | Jul 22nd, 2021 - about 4 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1407981657 | NPPES |
California | Other | OT0012710 | BLUE SHIELD |
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