Johnson, Crystal Y.

Johnson, Crystal Y. is an individual health care provider with primary practice located at 233 Longtown Rd , Columbia SC 29229-8550. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Obstetrics & Gynecology. Allopathic & Osteopathic Physicians / Obstetrics & Gynecology is her primary health care specialty. Johnson, Crystal Y. can be contacted via phone (803) 788-0268.

Contact Information

Primary practice address
233 Longtown Rd Columbia SC 29229-8550
Phone: (803) 788-0268
Fax: (803) 788-7384
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 27811 South Carolina
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 27811 South Carolina

Profile Details

NPI number 1407804826
LBN Legal business name Johnson, Crystal Y.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 5th, 2006
Last updated Nov 9th, 2020 - about 6 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 1407804826 NPPES
South Carolina MEDICAID 278112

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