Mabry, Crystal B
Mabry, Crystal B is an sole proprietor health care provider with primary practice located at 15787 Coose Hollow Dr , Rogers AR 72756-8966. She recently has only one registered license in Other Service Providers / Contractor, which is considered as her primary health care specialty. Mabry, Crystal B can be contacted via phone (479) 925-3526.Contact Information
Primary practice address
15787 Coose Hollow Dr
Rogers AR 72756-8966
Phone: (479) 925-3526
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Contractor | 171W00000X |
Profile Details
| NPI number | 1881869238 |
|---|---|
| LBN Legal business name | Mabry, Crystal B |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 28th, 2008 |
| Last updated | Apr 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 | 1881869238 | NPPES |
| Arkansas | MEDICAID | 153757783 |
Popular Providers
-
Krum, Sandy A.
1278 N Milwaukee Ave Number 2W, Chicago IL 60622-2289 -
Parker, Cliff C
453 Leisure Dr , Cedar Hill TX 75104-3115 -
Lucero, Mario
Route 16, Main Street , War WV 24892 -
Flanagan, John R
705 Landa St Suite C, New Braunfels TX 78130-6172 -
Whitehead, Lee James
11600 W Fm 471 , San Antonio TX 78253-4802 -
Garcia, Fernando
5541 Highway 1 , Marksville LA 71351-2650 -
Harris, Pamela D.
4917 Stirrup Way , Antioch CA 94531-8170 -
Ziegler, Thomas Richard
4572 Southern Drive , Erie PA 16506-1536