Crosby, Kristin Rene
Crosby, Kristin Rene is an individual health care provider with primary practice located at 614 W Manchester Blvd Ste 104 , Inglewood CA 90301-1683. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Licensed Vocational Nurse, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder). Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is her primary health care specialty. Crosby, Kristin Rene can be contacted via phone (310) 412-0879.Contact Information
Primary practice address
614 W Manchester Blvd Ste 104
Inglewood CA 90301-1683
Phone: (310) 412-0879
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / Licensed Vocational Nurse | 164X00000X | 261843 | California |
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 10526 | California |
Profile Details
| NPI number | 1346761293 |
|---|---|
| LBN Legal business name | Crosby, Kristin Rene |
| Credentials | LVN, SUDRC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 30th, 2017 |
| Last updated | Oct 5th, 2023 - about 3 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1346761293 | NPPES |
| California | Other | 10526 | CADPT SUDRC |
| California | Other | 261843 | CADPT SUDRC |
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