Vanburen, Krystal Maria

Vanburen, Krystal Maria is an sole proprietor health care provider with primary practice located at 4318 Berkshire St , Detroit MI 48224-3502. She recently has only one registered license in Behavioral Health & Social Service Providers / Health, which is considered as her primary health care specialty. Vanburen, Krystal Maria can be contacted via phone (253) 392-9271.

Contact Information

Primary practice address
4318 Berkshire St Detroit MI 48224-3502
Phone: (253) 392-9271
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Health 103TH0004X

Profile Details

NPI number 1982224499
LBN Legal business name Vanburen, Krystal Maria
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 24th, 2020
Last updated Apr 24th, 2020 - about 4 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1982224499 NPPES
Michigan Other 386983189 I DON'T HAVE A NP I NUMBER

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