Neal, Crystal

Neal, Crystal is an individual health care provider with primary practice located at 6913 N Main St , Granger IN 46530-8039. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Neal, Crystal can be contacted via phone (574) 647-1500.

Contact Information

Primary practice address
6913 N Main St Granger IN 46530-8039
Phone: (574) 647-1500
Fax: (574) 243-4306
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 28222257A Indiana
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 71011624A Indiana

Profile Details

NPI number 1730787599
LBN Legal business name Neal, Crystal
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 14th, 2020
Last updated Jan 17th, 2024 - about 10 months 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 1730787599 NPPES
Indiana MEDICAID 300055448

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