Doty, Krystyne

Doty, Krystyne is an individual health care provider with primary practice located at 3800 W 203Rd St Ste 209 , Olympia Fields IL 60461. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Acute Care, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Doty, Krystyne can be contacted via phone (708) 679-2380.

Contact Information

Primary practice address
3800 W 203Rd St Ste 209 Olympia Fields IL 60461
Phone: (708) 679-2380
Fax: (708) 679-2836
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X 209.013920 Illinois
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 209013920 Illinois

Profile Details

NPI number 1992258438
LBN Legal business name Doty, Krystyne
Credentials Advanced Practice Nurse (APN)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 2nd, 2016
Last updated Mar 16th, 2021 - about 5 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 1992258438 NPPES
Illinois MEDICAID 209013920

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