Crockett, Justin Yates
Crockett, Justin Yates is an individual health care provider with primary practice located at 51 Fairviewstreet , Brattleboro VT 05301-2579. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Crockett, Justin Yates can be contacted via phone (802) 254-6028.Contact Information
Primary practice address
51 Fairviewstreet
Brattleboro VT 05301-2579
Phone: (802) 254-6028
Fax: (802) 254-7501
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X |
Profile Details
| NPI number | 1003377151 |
|---|---|
| LBN Legal business name | Crockett, Justin Yates |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 29th, 2019 |
| Last updated | Jul 16th, 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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