Shifferly, Crystal
Shifferly, Crystal is an sole proprietor health care provider with primary practice located at 481 Woodridge Dr , Mansfield OH 44906-2106. She recently has 4 registered licenses in different health care specialties including Transportation Services / Private Vehicle, Nursing Service Related Providers / Personal Care Attendant, Nursing Service Related Providers / Homemaker, Transportation Services / Non-emergency Medical Transport (VAN). Nursing Service Related Providers / Homemaker is her primary health care specialty. Shifferly, Crystal can be contacted via phone (567) 274-1738.Contact Information
Primary practice address
481 Woodridge Dr
Mansfield OH 44906-2106
Phone: (567) 274-1738
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Transportation Services / Private Vehicle | 347C00000X | ||
| Nursing Service Related Providers / Personal Care Attendant | 3747P1801X | ||
| Nursing Service Related Providers / Homemaker | 376J00000X | ||
| Transportation Services / Non-emergency Medical Transport (VAN) | 343900000X |
Profile Details
| NPI number | 1376567164 |
|---|---|
| LBN Legal business name | Shifferly, Crystal |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 26th, 2006 |
| Last updated | Dec 19th, 2024 - about 2 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 | 1376567164 | NPPES |
| Ohio | Other | 2168318 | INDIVIDUAL PROVIDER |
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