Smith, Crystal Renee

Smith, Crystal Renee is an sole proprietor health care provider with primary practice located at 2109 S Highway 69 , Wagoner OK 74467-9310. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Smith, Crystal Renee can be contacted via phone (918) 640-0199.

Contact Information

Primary practice address
2109 S Highway 69 Wagoner OK 74467-9310
Fax: (918) 756-2126
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X

Profile Details

NPI number 1134429194
LBN Legal business name Smith, Crystal Renee
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 25th, 2010
Last updated Oct 25th, 2010 - about 16 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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