Crist, James J

Crist, James J is an individual health care provider with primary practice located at 13649 Office Place Suite 102, Woodbridge VA 22192. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Crist, James J can be contacted via phone (703) 670-5738.

Contact Information

Primary practice address
13649 Office Place Suite 102 Woodbridge VA 22192
Phone: (703) 670-5738
Fax: (703) 670-8213
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 0810001821 Virginia

Profile Details

NPI number 1528138914
LBN Legal business name Crist, James J
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 9th, 2006
Last updated Jan 17th, 2020 - about 5 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 1528138914 NPPES
Virginia Other 256400 ANTHEM BCBS

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