Long, Krystal L.
Long, Krystal L. is an individual health care provider with primary practice located at 3232 13Th Ave S , Fargo ND 58103-3403. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Long, Krystal L. can be contacted via phone (701) 280-3000.Contact Information
Primary practice address
3232 13Th Ave S
Fargo ND 58103-3403
Phone: (701) 280-3000
Fax: (701) 280-1304
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 6140 | Ohio |
| Eye and Vision Services Providers / Optometrist | 152W00000X | 3297 | Minnesota |
| Eye and Vision Services Providers / Optometrist | 152W00000X | 771 | North Dakota |
Profile Details
| NPI number | 1942555974 |
|---|---|
| LBN Legal business name | Long, Krystal L. |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 16th, 2012 |
| Last updated | Feb 27th, 2023 - about 3 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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