Krystyn, Jack Phil

Krystyn, Jack Phil is an sole proprietor health care provider with primary practice located at 184 Caravan Ln , Kinsey AL 36303-7694. He recently has only one registered license in Nursing Service Providers / Emergency, which is considered as his primary health care specialty. Krystyn, Jack Phil can be contacted via phone (334) 678-8268.

Contact Information

Primary practice address
184 Caravan Ln Kinsey AL 36303-7694
Phone: (334) 678-8268
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Emergency 163WE0003X 1-03341 Alabama

Profile Details

NPI number 1720161607
LBN Legal business name Krystyn, Jack Phil
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 23rd, 2006
Last updated Jul 8th, 2007 - about 19 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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