Dudley, Crystal Marie
Dudley, Crystal Marie is an individual health care provider with primary practice located at 516 15Th Ave Se , Minneapolis MN 55455-0120. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as her primary health care specialty. Dudley, Crystal Marie can be contacted via phone (612) 625-2850.Contact Information
Primary practice address
516 15Th Ave Se
Minneapolis MN 55455-0120
Phone: (612) 625-2850
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer | 2255A2300X |
Profile Details
| NPI number | 1962452268 |
|---|---|
| LBN Legal business name | Dudley, Crystal Marie |
| Credentials | Athletic Trainer, Certified (ATC) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 10th, 2006 |
| Last updated | Jul 8th, 2007 - about 19 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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