Clark, Crystal A
Clark, Crystal A is an sole proprietor health care provider with primary practice located at 331 Jamestown Ct , Columbus OH 43228-4030. She recently has 5 registered licenses in different health care specialties including Nursing Service Related Providers / Chore Provider, Nursing Service Related Providers / Adult Companion, Nursing Service Related Providers / Attendant Care Provider, Nursing Service Related Providers / Personal Care Attendant, Nursing Service Related Providers / Homemaker. Nursing Service Related Providers / Personal Care Attendant is her primary health care specialty. Clark, Crystal A can be contacted via phone (601) 480-3968.Contact Information
Primary practice address
331 Jamestown Ct
Columbus OH 43228-4030
Phone: (601) 480-3968
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Related Providers / Chore Provider | 372500000X | ||
| Nursing Service Related Providers / Adult Companion | 372600000X | ||
| Nursing Service Related Providers / Attendant Care Provider | 3747A0650X | ||
| Nursing Service Related Providers / Personal Care Attendant | 3747P1801X | ||
| Nursing Service Related Providers / Homemaker | 376J00000X |
Profile Details
| NPI number | 1639443658 |
|---|---|
| LBN Legal business name | Clark, Crystal A |
| Credentials | Certified Medical Assistant (CMA) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 8th, 2012 |
| Last updated | Mar 9th, 2012 - about 14 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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