Shifferly, Crystal
Shifferly, Crystal is an sole proprietor health care provider with primary practice located at 790 Straub Rd W Apt. 94, Mansfield OH 44904-1889. She recently has only one registered license in Nursing Service Related Providers / Personal Care Attendant, which is considered as her primary health care specialty. Shifferly, Crystal can be contacted via phone (419) 566-4012.Contact Information
Primary practice address
790 Straub Rd W Apt. 94
Mansfield OH 44904-1889
Phone: (419) 566-4012
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Related Providers / Personal Care Attendant | 3747P1801X |
Profile Details
| NPI number | 1376567164 |
|---|---|
| LBN Legal business name | Shifferly, Crystal |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 26th, 2006 |
| Last updated | Jul 8th, 2007 - about 17 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 | 1376567164 | NPPES |
| Ohio | Other | 2168318 | INDIVIDUAL PROVIDER |
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