Bales, Crystal L

Bales, Crystal L is an individual health care provider with primary practice located at 130 2Nd St , Neenah WI 54956-2883. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Bales, Crystal L can be contacted via phone (920) 969-7900.

Contact Information

Primary practice address
130 2Nd St Neenah WI 54956-2883
Phone: (920) 969-7900
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 7316 Wisconsin

Profile Details

NPI number 1376094664
LBN Legal business name Bales, Crystal L
Credentials DNP, RN, CPNP
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 20th, 2016
Last updated Jun 10th, 2024 - about 2 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 1376094664 NPPES
Wisconsin MEDICAID 1376094664

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