Maynard, Cryscilla

Maynard, Cryscilla is an individual health care provider with primary practice located at 8423 Market St Ste 205, Boardman OH 44512-6778. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Maynard, Cryscilla can be contacted via phone (330) 729-1933.

Contact Information

Primary practice address
8423 Market St Ste 205 Boardman OH 44512-6778
Phone: (330) 729-1933
Fax: (330) 729-1861
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 50004041 Ohio

Profile Details

NPI number 1528467271
LBN Legal business name Maynard, Cryscilla
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 19th, 2014
Last updated Jan 1st, 2017 - about 9 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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Identifiers

StateTypeNumberIssuer
All States NPI 1528467271 NPPES
Ohio MEDICAID 0119669

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