Eller, Chrystal Faye

Eller, Chrystal Faye is an individual health care provider with primary practice located at 522 Allen St Suite 101, Troy NC 27371-2861. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Eller, Chrystal Faye can be contacted via phone (910) 571-5510.

Contact Information

Primary practice address
522 Allen St Suite 101 Troy NC 27371-2861
Phone: (910) 571-5510
Fax: (910) 571-5539
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 2007-01048 North Carolina

Profile Details

NPI number 1487797114
LBN Legal business name Eller, Chrystal Faye
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 14th, 2007
Last updated Jun 24th, 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 1487797114 NPPES
North Carolina MEDICAID 5907325
North Carolina Other 145XR
North Carolina Other FH1100265
North Carolina Other 9073047

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