Barksdale, Crystal Caldwell

Barksdale, Crystal Caldwell is an individual health care provider with primary practice located at 1930 Braeburn Cir , Salem VA 24153-7388. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Barksdale, Crystal Caldwell can be contacted via phone (450) 444-8100.

Contact Information

Primary practice address
1930 Braeburn Cir Salem VA 24153-7388
Phone: (450) 444-8100
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 0110006501 Virginia

Profile Details

NPI number 1255305785
LBN Legal business name Barksdale, Crystal Caldwell
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 13th, 2006
Last updated Jan 29th, 2020 - 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 1255305785 NPPES
Virginia MEDICAID 004945263

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