Webb, Crystal D

Webb, Crystal D is an individual health care provider with primary practice located at 50 N Medical Dr , Salt Lake City UT 84132-0002. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Surgical, Physician Assistants & Advanced Practice Nursing Providers / Medical. Physician Assistants & Advanced Practice Nursing Providers / Medical is her primary health care specialty. Webb, Crystal D can be contacted via phone (801) 581-6255.

Contact Information

Primary practice address
50 N Medical Dr Salt Lake City UT 84132-0002
Fax: (801) 585-6005
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 2013032885 Missouri
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 2013032885 Missouri

Profile Details

NPI number 1649605718
LBN Legal business name Webb, Crystal D
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 9th, 2013
Last updated May 16th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1649605718 NPPES
Missouri Other 2013032885 MISSOURI STATE LICENSE
Missouri Other 9126823-8906 MISSOURI STATE LICENSE

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