Clark, Crystal

Clark, Crystal is an sole proprietor health care provider with primary practice located at 3700 S Main St , Blacksburg VA 24060-7017. She recently has only one registered license in Other Service Providers / Driver, which is considered as her primary health care specialty. Clark, Crystal can be contacted via phone (540) 951-1111.

Contact Information

Primary practice address
3700 S Main St Blacksburg VA 24060-7017
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Driver 172A00000X A69874069 Virginia

Profile Details

NPI number 1477213619
LBN Legal business name Clark, Crystal
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 29th, 2021
Last updated Dec 29th, 2021 - 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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