Chick, Crystal

Chick, Crystal is an individual health care provider with primary practice located at 4901 Lang Ave Ne , Albuquerque NM 87109-4397. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Chick, Crystal can be contacted via phone (505) 842-8171.

Contact Information

Primary practice address
4901 Lang Ave Ne Albuquerque NM 87109-4397
Phone: (505) 842-8171
Fax: (505) 246-0684
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 0995019-NP Colorado
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 63441 New Mexico

Profile Details

NPI number 1285285395
LBN Legal business name Chick, Crystal
Credentials AGPC-NP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 20th, 2019
Last updated May 18th, 2022 - 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 1285285395 NPPES
Colorado MEDICAID 9000178403
Colorado MEDICAID 63789337

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