Crum, Joseph Mark

Crum, Joseph Mark is an sole proprietor health care provider with primary practice located at 111 Commonwealth Ave Suite 120, Bristol VA 24201-3831. He recently has only one registered license in Chiropractic Providers / Sports Physician, which is considered as his primary health care specialty. Crum, Joseph Mark can be contacted via phone (276) 669-0969.

Contact Information

Primary practice address
111 Commonwealth Ave Suite 120 Bristol VA 24201-3831
Phone: (276) 669-0969
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Sports Physician 111NS0005X 0104001471 Virginia

Profile Details

NPI number 1386712263
LBN Legal business name Crum, Joseph Mark
Credentials DC, CCRD, CCSP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 1st, 2006
Last updated Jul 8th, 2007 - about 17 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 1386712263 NPPES
Virginia Other 5697482 AETNA
Virginia Other 241832 AETNA
Virginia Other 3040218 AETNA
Virginia Other 2116065 AETNA

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