Cross, Cecil Bernard

Cross, Cecil Bernard is an individual health care provider with primary practice located at 44055 Riverside Pkwy Suite 246, Leesburg VA 20176-5179. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Cross, Cecil Bernard can be contacted via phone (703) 858-3200.

Contact Information

Primary practice address
44055 Riverside Pkwy Suite 246 Leesburg VA 20176-5179
Fax: (703) 858-3203
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 0101042337 Virginia

Profile Details

NPI number 1013901636
LBN Legal business name Cross, Cecil Bernard
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 9th, 2005
Last updated Jan 10th, 2024 - about 11 months 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 1013901636 NPPES
Other P00142414 RR MEDICARE
MEDICAID 010071780 RR MEDICARE

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