Eaves, Crystal Dawn
Eaves, Crystal Dawn is an sole proprietor health care provider with primary practice located at 1604 N Washington Ave , Durant OK 74701-2128. She recently has only one registered license in Other Service Providers / Case Manager/Care Coordinator, which is considered as her primary health care specialty. Eaves, Crystal Dawn can be contacted via phone (580) 920-0909.Contact Information
Primary practice address
1604 N Washington Ave
Durant OK 74701-2128
Phone: (580) 920-0909
Fax: (580) 931-3119
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Case Manager/Care Coordinator | 171M00000X |
Profile Details
| NPI number | 1740613694 |
|---|---|
| LBN Legal business name | Eaves, Crystal Dawn |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 14th, 2013 |
| Last updated | Aug 14th, 2013 - about 13 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 | 1740613694 | NPPES |
| Oklahoma | Other | 10 | PRIVATE PAY |
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