Creswell, Karissa Joy
Creswell, Karissa Joy is an individual health care provider with primary practice located at 5910 Cubero Dr Ne Suite C, Albuquerque NM 87109-3842. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Creswell, Karissa Joy can be contacted via phone (505) 999-7144.Contact Information
Primary practice address
5910 Cubero Dr Ne Suite C
Albuquerque NM 87109-3842
Phone: (505) 999-7144
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 5241 | New Mexico |
Profile Details
| NPI number | 1619357142 |
|---|---|
| LBN Legal business name | Creswell, Karissa Joy |
| Credentials | LMT |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 29th, 2015 |
| Last updated | May 29th, 2015 - about 11 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 | 1619357142 | NPPES |
| New Mexico | Other | 5241 | NM MASSAGE THERAPY BOARD |
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