Creisstoff, Ivana Jillian
Creisstoff, Ivana Jillian is an individual health care provider with primary practice located at 2800 Wellford St Ste 100 , Fredericksburg VA 22401-3176. She recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as her primary health care specialty. Creisstoff, Ivana Jillian can be contacted via phone (540) 361-1830.Contact Information
Primary practice address
2800 Wellford St Ste 100
Fredericksburg VA 22401-3176
Phone: (540) 361-1830
Fax: (540) 361-4968
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | 0110-008207 | Virginia |
Profile Details
| NPI number | 1467118117 |
|---|---|
| LBN Legal business name | Creisstoff, Ivana Jillian |
| Credentials | Physician Assistant (PA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 16th, 2021 |
| Last updated | Nov 16th, 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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