Cox, Crystal J

Cox, Crystal J is an individual health care provider with primary practice located at 3883 Airway Dr Ste 120 , Santa Rosa CA 95403-1678. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Cox, Crystal J can be contacted via phone (707) 521-4495.

Contact Information

Primary practice address
3883 Airway Dr Ste 120 Santa Rosa CA 95403-1678
Phone: (707) 521-4495
Fax: (707) 573-5421
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 12696 California

Profile Details

NPI number 1811195100
LBN Legal business name Cox, Crystal J
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 7th, 2007
Last updated Aug 5th, 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 1811195100 NPPES
California Other PA12696 STATE MEDICAL LIC

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