Small, Crystal V
Small, Crystal V is an individual health care provider with primary practice located at 1005 State University Dr Department Of Athletics, Fort Valley GA 31030-4313. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as her primary health care specialty. Small, Crystal V can be contacted via phone (478) 825-6195.Contact Information
Primary practice address
1005 State University Dr Department Of Athletics
Fort Valley GA 31030-4313
Phone: (478) 825-6195
Fax: (478) 825-6886
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer | 2255A2300X | AT001359 | Georgia |
Profile Details
| NPI number | 1871618231 |
|---|---|
| LBN Legal business name | Small, Crystal V |
| Credentials | Athletic Trainer, Certified (ATC) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 21st, 2007 |
| Last updated | Feb 21st, 2008 - about 16 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 | 1871618231 | NPPES |
| Georgia | Other | 2255A2300X | ATHLETIC TRAINER |
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