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Contact Information

CRYSTAL M HARRIS
26630 SUMPTER RD
TOWNSHIP OF SUMPTER, MI48111
 Phone: 313-422-5551
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Licensed Practical Nurse

164W00000X
 

Recreation Therapist

225800000X
Indicates primary specialty

NPI Profile & details for CRYSTAL M HARRIS · (Female)

NPI # 1619286127
Status Active
Credentials
Entity Individual
Enumeration date 09/30/2010
Last updated 08/01/2018 - About 8 years ago
Sole proprietor 1 Yes
Identifiers
  • MI License # 225800000X
  • MI License # 4703117523
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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