Coleman, Crystal Lyn

Coleman, Crystal Lyn is an sole proprietor health care provider with primary practice located at 213 Burritt Rd , Hilton NY 14468-9769. She recently has only one registered license in Nursing Service Providers / Licensed Practical Nurse, which is considered as her primary health care specialty. Coleman, Crystal Lyn can be contacted via phone (585) 392-7847.

Contact Information

Primary practice address
213 Burritt Rd Hilton NY 14468-9769
Phone: (585) 392-7847
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Practical Nurse 164W00000X 281099-1 New York

Profile Details

NPI number 1821291436
LBN Legal business name Coleman, Crystal Lyn
Credentials Licensed Practical Nurse (LPN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 10th, 2007
Last updated Jul 9th, 2007 - about 19 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 1821291436 NPPES
New York MEDICAID 02712105

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