Tallman, Crystal Irene
Tallman, Crystal Irene is an sole proprietor health care provider with primary practice located at 3042 N Federal Hwy Ste 100 , Ft Lauderdale FL 33306-1400. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Tallman, Crystal Irene can be contacted via phone (954) 776-4877.Contact Information
Primary practice address
3042 N Federal Hwy Ste 100
Ft Lauderdale FL 33306-1400
Phone: (954) 776-4877
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | R5042 | Texas |
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | OS17129 | Florida |
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | R5046 | Texas |
Profile Details
| NPI number | 1972881654 |
|---|---|
| LBN Legal business name | Tallman, Crystal Irene |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 28th, 2011 |
| Last updated | Aug 4th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1972881654 | NPPES |
| Florida | MEDICAID | OS17129 |
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