Weaks, Crystal
Weaks, Crystal is an individual health care provider with primary practice located at 8010 Summerlin Lakes Dr Suite 100, Fort Myers FL 33907-1849. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as her primary health care specialty. Weaks, Crystal can be contacted via phone (239) 939-1767.Contact Information
Primary practice address
8010 Summerlin Lakes Dr Suite 100
Fort Myers FL 33907-1849
Phone: (239) 939-1767
Fax: (239) 939-5895
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Surgical | 363AS0400X | PA9100925 | Florida |
Profile Details
| NPI number | 1053348300 |
|---|---|
| LBN Legal business name | Weaks, Crystal |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 26th, 2006 |
| Last updated | Jul 8th, 2007 - about 19 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 | 1053348300 | NPPES |
| Florida | MEDICAID | 290598100 | |
| Florida | Other | P00145895 |
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