Crenshaw, Joanne

Crenshaw, Joanne is an sole proprietor health care provider with primary practice located at 21135 Whitfield Place Suite 102, Sterling VA 20165-7279. She recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as her primary health care specialty. Crenshaw, Joanne can be contacted via phone (703) 766-6165.

Contact Information

Primary practice address
21135 Whitfield Place Suite 102 Sterling VA 20165-7279
Phone: (703) 766-6165
Fax: (703) 444-4985
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 0101057318 Virginia

Profile Details

NPI number 1225120538
LBN Legal business name Crenshaw, Joanne
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 28th, 2006
Last updated Jun 13th, 2024 - about last year

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 1225120538 NPPES
Virginia MEDICAID 010021880

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