King, Crystal M

King, Crystal M is an individual health care provider with primary practice located at 2929 Crouse Ln Ste E , Burlington NC 27215-8317. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. King, Crystal M can be contacted via phone (336) 266-0334.

Contact Information

Primary practice address
2929 Crouse Ln Ste E Burlington NC 27215-8317
Fax: (800) 418-5873
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 5004805 North Carolina

Profile Details

NPI number 1417262023
LBN Legal business name King, Crystal M
Credentials ANP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 9th, 2010
Last updated May 31st, 2023 - about last year

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 1417262023 NPPES
North Carolina MEDICAID 1417262023
North Carolina Other NCD188D123

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