Crockett, Maryliz
Crockett, Maryliz is an sole proprietor health care provider with primary practice located at 110 N Mentzer St , Mitchell SD 57301-8001. She recently has only one registered license in Nursing Service Providers / School, which is considered as her primary health care specialty. Crockett, Maryliz can be contacted via phone (605) 995-3021.Contact Information
Primary practice address
110 N Mentzer St
Mitchell SD 57301-8001
Phone: (605) 995-3021
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / School | 163WS0200X | R024581 | South Dakota |
Profile Details
| NPI number | 1902255698 |
|---|---|
| LBN Legal business name | Crockett, Maryliz |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 3rd, 2016 |
| Last updated | Jun 3rd, 2016 - about 8 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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