Crawford, Antonde Tyese

Crawford, Antonde Tyese is an individual health care provider with primary practice located at 8334 Pineville Matthews Rd Ste 102 , Charlotte NC 28226-3764. She recently has only one registered license in Speech, Language and Hearing Service Providers / Hearing Instrument Specialist, which is considered as her primary health care specialty. Crawford, Antonde Tyese can be contacted via phone (704) 541-8965.

Contact Information

Primary practice address
8334 Pineville Matthews Rd Ste 102 Charlotte NC 28226-3764
Phone: (704) 541-8965
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Hearing Instrument Specialist 237700000X 1573 North Carolina

Profile Details

NPI number 1417543414
LBN Legal business name Crawford, Antonde Tyese
Credentials HAS
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 15th, 2020
Last updated Dec 15th, 2020 - about 5 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 1417543414 NPPES
North Carolina Other 85-2673525 1952509713
North Carolina Other 85-2673525 1952509713

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