Gillyard, Crystal
Gillyard, Crystal is an individual health care provider with primary practice located at 219 Dinner Lake Pl , Lake Wales FL 33859-2104. She recently has only one registered license in Other Service Providers / Driver, which is considered as her primary health care specialty. Gillyard, Crystal can be contacted via phone (863) 455-6505.Contact Information
Primary practice address
219 Dinner Lake Pl
Lake Wales FL 33859-2104
Phone: (863) 455-6505
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Other Service Providers / Driver | 172A00000X | G463104856650 | Florida |
Profile Details
NPI number | 1457098899 |
---|---|
LBN Legal business name | Gillyard, Crystal |
Credentials | |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | May 17th, 2022 |
Last updated | May 17th, 2022 - about 3 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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