Carver, Krystal Rose
Carver, Krystal Rose is an individual health care provider with primary practice located at 200 12Th Street Ext , Princeton WV 24740-2329. She recently has only one registered license in Other Service Providers / Case Manager/Care Coordinator, which is considered as her primary health care specialty. Carver, Krystal Rose can be contacted via phone (304) 425-9541.Contact Information
Primary practice address
200 12Th Street Ext
Princeton WV 24740-2329
Phone: (304) 425-9541
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Case Manager/Care Coordinator | 171M00000X |
Profile Details
| NPI number | 1912520677 |
|---|---|
| LBN Legal business name | Carver, Krystal Rose |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 28th, 2020 |
| Last updated | May 28th, 2020 - about 6 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 | 1912520677 | NPPES |
| West Virginia | MEDICAID | 0005489001 |
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