Johnson, Crystal
Johnson, Crystal is an individual health care provider with primary practice located at 3300 Township Line Rd Ste 102 , Drexel Hill PA 19026-1925. She recently has only one registered license in Other Service Providers / Community Health Worker, which is considered as her primary health care specialty. Johnson, Crystal can be contacted via phone (610) 853-9919.Contact Information
Primary practice address
3300 Township Line Rd Ste 102
Drexel Hill PA 19026-1925
Phone: (610) 853-9919
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Community Health Worker | 172V00000X | OC006081L | Pennsylvania |
Profile Details
| NPI number | 1629252929 |
|---|---|
| LBN Legal business name | Johnson, Crystal |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 21st, 2007 |
| Last updated | Dec 21st, 2007 - about 18 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 | 1629252929 | NPPES |
| Pennsylvania | MEDICAID | 0019370500002 |
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