Crummett, Elaine Sharon

Crummett, Elaine Sharon is an individual health care provider with primary practice located at 1706 Davie Ave Suite D, Statesville NC 28677-3589. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Crummett, Elaine Sharon can be contacted via phone (704) 880-2384.

Contact Information

Primary practice address
1706 Davie Ave Suite D Statesville NC 28677-3589
Phone: (704) 880-2384
Fax: (704) 873-7789
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 3287 North Carolina
Behavioral Health & Social Service Providers / Clinical 103TC0700X 1443 North Carolina

Profile Details

NPI number 1245347335
LBN Legal business name Crummett, Elaine Sharon
Credentials L.P.A., L.P.C.
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 24th, 2006
Last updated Nov 14th, 2013 - about 12 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 1245347335 NPPES
North Carolina Other 11856 BC/BS

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