Mcreynolds, Crystalin Ray
Mcreynolds, Crystalin Ray is an sole proprietor health care provider with primary practice located at 5100 W Clearwater Ave Apt H201 , Kennewick WA 99336-2095. She recently has only one registered license in Dental Providers / Dental Assistant, which is considered as her primary health care specialty. Mcreynolds, Crystalin Ray can be contacted via phone (509) 820-1947.Contact Information
Primary practice address
5100 W Clearwater Ave Apt H201
Kennewick WA 99336-2095
Phone: (509) 820-1947
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dental Assistant | 126800000X | Washington |
Profile Details
| NPI number | 1558959007 |
|---|---|
| LBN Legal business name | Mcreynolds, Crystalin Ray |
| Credentials | D161066205 |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 8th, 2021 |
| Last updated | Jan 8th, 2021 - about 4 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 | 1558959007 | NPPES |
| Washington | Other | IJR971204865 | BLUE CROSS |
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