Crislip, Carlene Amelia
Crislip, Carlene Amelia is an sole proprietor health care provider with primary practice located at 8445 Munson Rd , Mentor OH 44060-2410. She recently has only one registered license in Agencies / Community/Behavioral Health, which is considered as her primary health care specialty. Crislip, Carlene Amelia can be contacted via phone (440) 255-1700.Contact Information
Primary practice address
8445 Munson Rd
Mentor OH 44060-2410
Phone: (440) 255-1700
Fax: (440) 205-2417
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Agencies / Community/Behavioral Health | 251S00000X |
Profile Details
| NPI number | 1174042154 |
|---|---|
| LBN Legal business name | Crislip, Carlene Amelia |
| Credentials | BA, QMHS |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 11th, 2017 |
| Last updated | Jul 21st, 2022 - about 2 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 | 1174042154 | NPPES |
| Ohio | MEDICAID | 2844093 |
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