Whitehouse, Crystal

Whitehouse, Crystal is an individual health care provider with primary practice located at 920 Frederica St Ste 204 , Owensboro KY 42301-3077. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Whitehouse, Crystal can be contacted via phone (270) 574-5600.

Contact Information

Primary practice address
920 Frederica St Ste 204 Owensboro KY 42301-3077
Phone: (270) 574-5600
Fax: (270) 574-5609
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 3010792 Kentucky

Profile Details

NPI number 1801346259
LBN Legal business name Whitehouse, Crystal
Credentials APRN-NP
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 10th, 2016
Last updated Jan 4th, 2023 - about last year

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 1801346259 NPPES
Kentucky MEDICAID 7100425010

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