Isenhower, Crystal H
Isenhower, Crystal H is an sole proprietor health care provider with primary practice located at 107 Waccamaw Medical Park Dr , Conway SC 29526-8902. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Isenhower, Crystal H can be contacted via phone (843) 234-3110.Contact Information
Primary practice address
107 Waccamaw Medical Park Dr
Conway SC 29526-8902
Phone: (843) 234-3110
Fax: (843) 234-3109
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 3529 | South Carolina |
Profile Details
| NPI number | 1336326727 |
|---|---|
| LBN Legal business name | Isenhower, Crystal H |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 28th, 2008 |
| Last updated | Jan 28th, 2008 - about 18 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 | 1336326727 | NPPES |
| South Carolina | MEDICAID | ZA9675 |
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