O'Neal Mims, Crystal

O'Neal Mims, Crystal is an sole proprietor health care provider with primary practice located at 43 Garrison Rd , Brookline MA 02445-4445. She recently has only one registered license in Behavioral Health & Social Service Providers / School, which is considered as her primary health care specialty. O'Neal Mims, Crystal can be contacted via phone (617) 277-8107.

Contact Information

Primary practice address
43 Garrison Rd Brookline MA 02445-4445
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / School 103TS0200X Massachusetts

Profile Details

NPI number 1972930527
LBN Legal business name O'Neal Mims, Crystal
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 27th, 2013
Last updated Sep 27th, 2013 - about 11 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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