White, Crystal H
White, Crystal H is an individual health care provider with primary practice located at 721 E Court St , Paris IL 61944-2460. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. White, Crystal H can be contacted via phone (217) 465-8411.Contact Information
Primary practice address
721 E Court St
Paris IL 61944-2460
Phone: (217) 465-8411
Fax: (217) 463-3184
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 209009792 | Illinois |
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 277000678 | Illinois |
Profile Details
| NPI number | 1184978009 |
|---|---|
| LBN Legal business name | White, Crystal H |
| Credentials | APN-C |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 30th, 2012 |
| Last updated | May 7th, 2020 - about 6 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 | 1184978009 | NPPES |
| Illinois | MEDICAID | 539646497001 |
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