Stevenson, Crystal Bleu
Stevenson, Crystal Bleu is an sole proprietor health care provider with primary practice located at 6091 Wintergreen Dr , Huntington Beach CA 92647-6463. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics, which is considered as her primary health care specialty. Stevenson, Crystal Bleu can be contacted via phone (714) 496-2299.Contact Information
Primary practice address
6091 Wintergreen Dr
Huntington Beach CA 92647-6463
Phone: (714) 496-2299
Fax: (866) 274-0162
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics | 225XP0200X | OT6542 | California |
Profile Details
NPI number | 1184953754 |
---|---|
LBN Legal business name | Stevenson, Crystal Bleu |
Credentials | Registered Occupational Therapist (OTR) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Dec 10th, 2009 |
Last updated | Dec 10th, 2009 - about 15 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 | 1184953754 | NPPES |
California | Other | OT0065420 | BLUE SHIELD |
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