James-Cobourn, Crystal M

James-Cobourn, Crystal M is an individual health care provider with primary practice located at 200 Delaware St , Honesdale PA 18431-1150. She recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as her primary health care specialty. James-Cobourn, Crystal M can be contacted via phone (570) 253-9039.

Contact Information

Primary practice address
200 Delaware St Honesdale PA 18431-1150
Fax: (570) 253-9052
Website:

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X DC008948 Pennsylvania

Profile Details

NPI number 1083671382
LBN Legal business name James-Cobourn, Crystal M
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 28th, 2006
Last updated Jun 7th, 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 1083671382 NPPES
Pennsylvania MEDICAID 19386000001

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