Jordan, Crystal
Jordan, Crystal is an sole proprietor health care provider with primary practice located at 401 W Florida Ave Apt 4B , Haines City FL 33844-5049. She recently has 3 registered licenses in different health care specialties including Agencies / Community/Behavioral Health, Other Service Providers / Health Educator, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist. Agencies / Community/Behavioral Health is her primary health care specialty. Jordan, Crystal can be contacted via phone (321) 917-9192.Contact Information
Primary practice address
401 W Florida Ave Apt 4B
Haines City FL 33844-5049
Phone: (321) 917-9192
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Agencies / Community/Behavioral Health | 251S00000X | Florida | |
| Other Service Providers / Health Educator | 174H00000X | ||
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist | 222Q00000X |
Profile Details
| NPI number | 1568087724 |
|---|---|
| LBN Legal business name | Jordan, Crystal |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 13th, 2020 |
| Last updated | Oct 5th, 2022 - about 4 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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