Provider Demographics
NPI:1013308162
Name:TOBIN, CRISTYN (BSW)
Entity Type:Individual
Prefix:MRS
First Name:CRISTYN
Middle Name:
Last Name:TOBIN
Suffix:
Gender:F
Credentials:BSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10993 56TH AVE
Mailing Address - Street 2:
Mailing Address - City:ALLENDALE
Mailing Address - State:MI
Mailing Address - Zip Code:49401-8353
Mailing Address - Country:US
Mailing Address - Phone:616-826-7544
Mailing Address - Fax:616-974-6877
Practice Address - Street 1:10993 56TH AVE
Practice Address - Street 2:
Practice Address - City:ALLENDALE
Practice Address - State:MI
Practice Address - Zip Code:49401-8353
Practice Address - Country:US
Practice Address - Phone:616-826-7544
Practice Address - Fax:616-974-6877
Is Sole Proprietor?:No
Enumeration Date:2015-02-11
Last Update Date:2019-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator