Frost, Krystal
Frost, Krystal is an sole proprietor health care provider with primary practice located at 1941 S 42Nd St Ste 129 , Omaha NE 68105-2938. She recently has only one registered license in Agencies / Community/Behavioral Health, which is considered as her primary health care specialty. Frost, Krystal can be contacted via phone (402) 871-9979.Contact Information
Primary practice address
1941 S 42Nd St Ste 129
Omaha NE 68105-2938
Phone: (402) 871-9979
Fax: (402) 614-9947
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Agencies / Community/Behavioral Health | 251S00000X |
Profile Details
| NPI number | 1104219500 |
|---|---|
| LBN Legal business name | Frost, Krystal |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 9th, 2015 |
| Last updated | Mar 9th, 2015 - about 10 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 | 1104219500 | NPPES |
| Nebraska | MEDICAID | 10025769200 |
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