Crossen, David Keith
Crossen, David Keith is an sole proprietor health care provider with primary practice located at 7603 Forest Ave Ste 301 , Henrico VA 23229-4937. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Crossen, David Keith can be contacted via phone (804) 421-7404.Contact Information
Primary practice address
7603 Forest Ave Ste 301
Henrico VA 23229-4937
Phone: (804) 421-7404
Fax: (804) 421-7405
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 0101041767 | Virginia |
Profile Details
| NPI number | 1205826260 |
|---|---|
| LBN Legal business name | Crossen, David Keith |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 21st, 2005 |
| Last updated | Oct 8th, 2018 - about 6 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1205826260 | NPPES |
| Virginia | Other | C03551 | MEDICARE ID |
| Virginia | MEDICAID | 5642990 | MEDICARE ID |
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