Crayton, Charles Andre

Crayton, Charles Andre is an sole proprietor health care provider with primary practice located at 18109 W Tecoma Rd , Goodyear AZ 85338-7753. He recently has only one registered license in Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), which is considered as his primary health care specialty. Crayton, Charles Andre can be contacted via phone (219) 689-0256.

Contact Information

Primary practice address
18109 W Tecoma Rd Goodyear AZ 85338-7753
Phone: (219) 689-0256
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X

Profile Details

NPI number 1952097586
LBN Legal business name Crayton, Charles Andre
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 17th, 2023
Last updated Apr 17th, 2023 - about 2 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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