Devore, Krystal
Devore, Krystal is an sole proprietor health care provider with primary practice located at 246 Northland Dr Suite 140, Medina OH 44256-3441. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Devore, Krystal can be contacted via phone (330) 723-9600.Contact Information
Primary practice address
246 Northland Dr Suite 140
Medina OH 44256-3441
Phone: (330) 723-9600
Fax: (330) 722-1446
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | I.1302171 | Ohio |
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 1302171 | Ohio |
Profile Details
| NPI number | 1689040107 |
|---|---|
| LBN Legal business name | Devore, Krystal |
| Credentials | LISW-S |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 19th, 2015 |
| Last updated | Mar 15th, 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 | 1689040107 | NPPES |
| Ohio | MEDICAID | 0160326 |
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