Pusser, Krystal L

Pusser, Krystal L is an sole proprietor health care provider with primary practice located at 2817 Reilly St Womack Army Medical Center, Fort Bragg NC 28310-7324. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Pusser, Krystal L can be contacted via phone (910) 907-8922.

Contact Information

Primary practice address
2817 Reilly St Womack Army Medical Center Fort Bragg NC 28310-7324
Phone: (910) 907-8922
Fax: (910) 907-6069
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X OPT001348 Georgia

Profile Details

NPI number 1992735815
LBN Legal business name Pusser, Krystal L
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 4th, 2006
Last updated Feb 17th, 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 1992735815 NPPES
Georgia Other 000606537H MEDICAID - RINCON
Georgia Other 1992735815 MEDICAID - RINCON
Georgia MEDICAID 000606537F MEDICAID - RINCON
Georgia Other 000606537G MEDICAID - RINCON
Georgia Other 111065 MEDICAID - RINCON
Georgia Other 732348 MEDICAID - RINCON
Georgia MEDICAID 000606537D MEDICAID - RINCON
Georgia MEDICAID 000606537A MEDICAID - RINCON
Georgia MEDICAID 000606537E MEDICAID - RINCON
Georgia Other 08525 MEDICAID - RINCON
Georgia Other 52484359 MEDICAID - RINCON
Georgia Other P00013749 MEDICAID - RINCON
Georgia Other 511G701032 MEDICAID - RINCON

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