Crist, Michele Marie

Crist, Michele Marie is an sole proprietor health care provider with primary practice located at 5450 Far Hills Ave , Kettering OH 45429-2386. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical Child & Adolescent, which is considered as her primary health care specialty. Crist, Michele Marie can be contacted via phone (937) 554-7156.

Contact Information

Primary practice address
5450 Far Hills Ave Kettering OH 45429-2386
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X 2583 Ohio

Profile Details

NPI number 1427160027
LBN Legal business name Crist, Michele Marie
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 31st, 2006
Last updated Mar 26th, 2009 - about 15 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 1427160027 NPPES
Ohio MEDICAID 0334785

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