White, Crystal H

White, Crystal H is an individual health care provider with primary practice located at 721 E Court St , Paris IL 61944-2460. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. White, Crystal H can be contacted via phone (217) 465-8411.

Contact Information

Primary practice address
721 E Court St Paris IL 61944-2460
Phone: (217) 465-8411
Fax: (217) 463-3184
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 209009792 Illinois
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 277000678 Illinois

Profile Details

NPI number 1184978009
LBN Legal business name White, Crystal H
Credentials APN-C
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 30th, 2012
Last updated May 7th, 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 1184978009 NPPES
Illinois MEDICAID 539646497001

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