Ostermeyer, Crystal M

Ostermeyer, Crystal M is an sole proprietor health care provider with primary practice located at 1432 S Dobson Rd Ste 509 , Mesa AZ 85202-4778. 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. Ostermeyer, Crystal M can be contacted via phone (480) 412-6970.

Contact Information

Primary practice address
1432 S Dobson Rd Ste 509 Mesa AZ 85202-4778
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 5261 Arizona

Profile Details

NPI number 1972848315
LBN Legal business name Ostermeyer, Crystal M
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 11th, 2012
Last updated Nov 30th, 2021 - about 5 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 1972848315 NPPES
Arizona MEDICAID 816462

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