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:
Health care specialties
| Specialty | Code | License # | 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 5 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 | 1720142508 | NPPES |
| Virginia | MEDICAID | 1720142508 |
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