Pickens, Crystal M
Pickens, Crystal M is an sole proprietor health care provider with primary practice located at 1088 Andora Rd Ne , Carrollton OH 44615-9787. She recently has only one registered license in Nursing Service Providers / Licensed Practical Nurse, which is considered as her primary health care specialty. Pickens, Crystal M can be contacted via phone (330) 705-7222.Contact Information
Primary practice address
1088 Andora Rd Ne
Carrollton OH 44615-9787
Phone: (330) 705-7222
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / Licensed Practical Nurse | 164W00000X | PN. 115745 | Ohio |
Profile Details
| NPI number | 1174845853 |
|---|---|
| LBN Legal business name | Pickens, Crystal M |
| Credentials | Licensed Practical Nurse (LPN) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 22nd, 2010 |
| Last updated | Jun 28th, 2011 - about 13 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 | 1174845853 | NPPES |
| Ohio | MEDICAID | 3031150 |
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