Velasco, Krystle
Velasco, Krystle is an sole proprietor health care provider with primary practice located at 1616 Parkway Dr , Anchorage AK 99504-2834. She recently has only one registered license in Nursing & Custodial Care Facilities / Assisted Living, Mental Illness, which is considered as her primary health care specialty. Velasco, Krystle can be contacted via phone (907) 753-8888.Contact Information
Primary practice address
1616 Parkway Dr
Anchorage AK 99504-2834
Phone: (907) 753-8888
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing & Custodial Care Facilities / Assisted Living, Mental Illness | 3104A0625X | 100852 | Alaska |
Profile Details
| NPI number | 1164720629 |
|---|---|
| LBN Legal business name | Velasco, Krystle |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 8th, 2011 |
| Last updated | Mar 8th, 2011 - about 14 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 | 1164720629 | NPPES |
| Alaska | MEDICAID | PENDING |
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