Day, Krystal Lorene
Day, Krystal Lorene is an individual health care provider with primary practice located at 1031 Waterloo Rd , Stockton CA 95205-4256. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Other Service Providers / Case Manager/Care Coordinator. Other Service Providers / Case Manager/Care Coordinator is her primary health care specialty. Day, Krystal Lorene can be contacted via phone (209) 940-5662.Contact Information
Primary practice address
1031 Waterloo Rd
Stockton CA 95205-4256
Phone: (209) 940-5662
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | ||
Other Service Providers / Case Manager/Care Coordinator | 171M00000X |
Profile Details
NPI number | 1639205958 |
---|---|
LBN Legal business name | Day, Krystal Lorene |
Credentials | |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Feb 23rd, 2007 |
Last updated | Jun 23rd, 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 | 1639205958 | NPPES |
California | Other | 101076 | DRUG MEDICAL |
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