Shaffer, Crystal
Shaffer, Crystal is an sole proprietor health care provider with primary practice located at 222 Tongass Dr , Sitka AK 99835-9416. She recently has only one registered license in Other Service Providers / Community Health Worker, which is considered as her primary health care specialty. Shaffer, Crystal can be contacted via phone (907) 966-8343.Contact Information
Primary practice address
222 Tongass Dr
Sitka AK 99835-9416
Phone: (907) 966-8343
Fax: (907) 966-8663
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Community Health Worker | 172V00000X |
Profile Details
| NPI number | 1417348368 |
|---|---|
| LBN Legal business name | Shaffer, Crystal |
| Credentials | PDHA I |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 13th, 2015 |
| Last updated | Feb 13th, 2015 - about 10 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 | 1417348368 | NPPES |
| Other | 14-12-PDHAI | COMMUNITY HEALTH AIDE PROGRAM CERTIFICATION BOARD |
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