St. Fort, Crystal

St. Fort, Crystal is an sole proprietor health care provider with primary practice located at 142 S 60Th St Unit A , Philadelphia PA 19139-3038. She recently has only one registered license in Allopathic & Osteopathic Physicians / Procedural Dermatology, which is considered as her primary health care specialty. St. Fort, Crystal can be contacted via phone (215) 495-5846.

Contact Information

Primary practice address
142 S 60Th St Unit A Philadelphia PA 19139-3038
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Procedural Dermatology 207NS0135X SP029428 Pennsylvania

Profile Details

NPI number 1871341073
LBN Legal business name St. Fort, Crystal
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 11th, 2024
Last updated May 11th, 2024 - about 6 months 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.

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