Maciel, Christy L
Maciel, Christy L is an individual health care provider with primary practice located at 1569 Sw Nancy Way , Bend OR 97702-3234. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Peer Specialist, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Maciel, Christy L can be contacted via phone (541) 419-8844.Contact Information
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Other Service Providers / Peer Specialist | 175T00000X | Oregon | |
Behavioral Health & Social Service Providers / Mental Health | 101YM0800X |
Profile Details
NPI number | 1922557040 |
---|---|
LBN Legal business name | Maciel, Christy L |
Credentials | |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Sep 30th, 2016 |
Last updated | Nov 19th, 2019 - about 5 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 | 1922557040 | NPPES |
Oregon | MEDICAID | 283234 |
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