Tomblin, Cristal Denise
Tomblin, Cristal Denise is an individual health care provider with primary practice located at 3700 Kolbe Rd , Lorain OH 44053-1611. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Tomblin, Cristal Denise can be contacted via phone (440) 960-3985.Contact Information
Primary practice address
3700 Kolbe Rd
Lorain OH 44053-1611
Phone: (440) 960-3985
Fax: (440) 960-4277
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 35.086918 | Ohio |
Profile Details
| NPI number | 1851508097 |
|---|---|
| LBN Legal business name | Tomblin, Cristal Denise |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 17th, 2007 |
| Last updated | Jan 19th, 2022 - about 4 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 | 1851508097 | NPPES |
| Ohio | MEDICAID | 2499907 |
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