Eastwood, Bart L

Eastwood, Bart L is an individual health care provider with primary practice located at 250 S Main St Ste 224A , Blacksburg VA 24060-4726. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Sports Medicine is his primary health care specialty. Eastwood, Bart L can be contacted via phone (540) 552-7133.

Contact Information

Primary practice address
250 S Main St Ste 224A Blacksburg VA 24060-4726
Phone: (540) 552-7133
Fax: (540) 552-7143
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 7735 South Dakota
Allopathic & Osteopathic Physicians / Sports Medicine 207XX0005X 0102204066 Virginia

Profile Details

NPI number 1720142508
LBN Legal business name Eastwood, Bart L
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 19th, 2006
Last updated Jan 19th, 2021 - about 4 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 1720142508 NPPES
Virginia MEDICAID 1720142508

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