Crockett, Tristian Corbin

Crockett, Tristian Corbin is an individual health care provider with primary practice located at 30461 Garnand Dr , Emory VA 24327. He recently has only one registered license in Student, Health Care / Student in an Organized Health Care Education/Training Program, which is considered as his primary health care specialty. Crockett, Tristian Corbin can be contacted via phone (540) 580-3560.

Contact Information

Primary practice address
30461 Garnand Dr Emory VA 24327
Phone: (540) 580-3560
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X

Profile Details

NPI number 1750899076
LBN Legal business name Crockett, Tristian Corbin
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 22nd, 2018
Last updated Jan 22nd, 2018 - about 7 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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