Crispin, Juanita

Crispin, Juanita is an individual health care provider with primary practice located at 693 Bloomfield Ave , Bloomfield CT 06002-2489. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Crispin, Juanita can be contacted via phone (860) 243-6584.

Contact Information

Primary practice address
693 Bloomfield Ave Bloomfield CT 06002-2489
Fax: (860) 243-6591
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X

Profile Details

NPI number 1619159381
LBN Legal business name Crispin, Juanita
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 4th, 2007
Last updated Dec 4th, 2007 - about 18 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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