Crenshaw, Mirrisa
Crenshaw, Mirrisa is an sole proprietor health care provider with primary practice located at 452 W Market St , Xenia OH 45385-2815. She recently has only one registered license in Student, Health Care / Student in an Organized Health Care Education/Training Program, which is considered as her primary health care specialty. Crenshaw, Mirrisa can be contacted via phone (937) 376-8700.Contact Information
Primary practice address
452 W Market St
Xenia OH 45385-2815
Phone: (937) 376-8700
Fax: (937) 376-8725
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | S2101902-TRNE | Ohio |
Profile Details
| NPI number | 1063188555 |
|---|---|
| LBN Legal business name | Crenshaw, Mirrisa |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 17th, 2021 |
| Last updated | Aug 17th, 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.
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