Dexter, Crystal M

Dexter, Crystal M is an individual health care provider with primary practice located at 9055 Springbrook Dr Nw , Coon Rapids MN 55433-5841. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Dexter, Crystal M can be contacted via phone (763) 780-9155.

Contact Information

Primary practice address
9055 Springbrook Dr Nw Coon Rapids MN 55433-5841
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 49295 Minnesota

Profile Details

NPI number 1407851694
LBN Legal business name Dexter, Crystal M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 15th, 2005
Last updated May 23rd, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1407851694 NPPES
Minnesota Other 0125449 MEDICA
Minnesota Other 6610246 MEDICA
Minnesota MEDICAID 34413400 MEDICA
Minnesota Other HP39823 MEDICA
Minnesota Other 1035384 MEDICA
Minnesota Other 180463 MEDICA
Minnesota Other 495L6FU MEDICA
Minnesota MEDICAID 762614200 MEDICA

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