Portis, Krystal Dawn
Portis, Krystal Dawn is an sole proprietor health care provider with primary practice located at 1675 E Us Highway 36 , Urbana OH 43078-9600. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Portis, Krystal Dawn can be contacted via phone (937) 536-0288.Contact Information
Primary practice address
1675 E Us Highway 36
Urbana OH 43078-9600
Phone: (937) 536-0288
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | CDCA185123 | Ohio |
Profile Details
| NPI number | 1760165450 |
|---|---|
| LBN Legal business name | Portis, Krystal Dawn |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 9th, 2023 |
| Last updated | Aug 9th, 2023 - about 2 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.
Popular Providers
-
Cotto, Tina
904 Scioto St , Urbana OH 43078-2226 -
Jameson, Albert W
333 Throckmorton St #909, Fort Worth TX 76102-7421 -
West, John Timothy
430 S Main St , Urbana OH 43078-2402 -
Carlin, Carl D
33 Varden Drive Sw , Aiken SC 29803 -
Sims, Tommye J
4334 Nw Expressway Suite 266, Oklahoma City OK 73116-1578 -
Binns, Patricia
5935 Us Highway 27 N #101, Sebring FL 33870-1200 -
Sims, Preston Lynn
4334 Nw Expressway Ste 266, Oklahoma City OK 73116-1578 -
Boaz, Delora K.
600 S Preston St , Louisville KY 40202-1716