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:
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Health care specialties

SpecialtyCodeLicense #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 3 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 1407981657 NPPES
California Other OT0012710 BLUE SHIELD

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