Chrystal Lynn Gubanche, is a
Case Manager/care Coordinator based in Lima, Ohio. Chrystal Lynn Gubanche is licensed to practice in * (Not Available) (license number ) and her current practice location is
797 S Main St, Lima, Ohio. She can be reached at her office (for appointments etc.) via phone at
(567) 242-6112.
NPI number for Chrystal Lynn Gubanche is 1164155453 and her current mailing address is 5982 Rhodes Rd, Kent, Ohio. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1164155453.
Healthcare Provider's Profile
| Full Name | Chrystal Lynn Gubanche |
|---|
| Gender | Female |
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| Speciality | Case Manager/care Coordinator |
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| Location | 797 S Main St, Lima, Ohio |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1164155453
- Provider Enumeration Date: 07/05/2022
- Last Update Date: 03/01/2023
Medical Identifiers
Medical identifiers for Chrystal Lynn Gubanche such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1164155453 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 180806 (Ohio) | Secondary |
| 175T00000X | Peer Specialist | (* (Not Available)) | Secondary |
| 171M00000X | Case Manager/care Coordinator | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Chrystal Lynn Gubanche is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Chrystal Lynn Gubanche,
5982 Rhodes Rd,
Kent, OH 44240-8100
Ph: (330) 673-1347 | Chrystal Lynn Gubanche,
797 S Main St,
Lima, OH 45804-1519
Ph: (567) 242-6112 |
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