Polderdyke, Crystal
Polderdyke, Crystal is an sole proprietor health care provider with primary practice located at 6555 15 Mile Rd , Sterling Heights MI 48312-4511. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Polderdyke, Crystal can be contacted via phone (586) 274-0200.Contact Information
Primary practice address
6555 15 Mile Rd
Sterling Heights MI 48312-4511
Phone: (586) 274-0200
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 6801089749 | Michigan |
Profile Details
| NPI number | 1164677472 |
|---|---|
| LBN Legal business name | Polderdyke, Crystal |
| Credentials | LMSW |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 1st, 2008 |
| Last updated | Mar 11th, 2013 - about 13 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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