Icenhour, Crystal

Icenhour, Crystal is an individual health care provider with primary practice located at 45925 Horseshoe Dr Ste 170 , Sterling VA 20166-6609. She recently has only one registered license in Allopathic & Osteopathic Physicians / Ph.D. Medical Genetics, which is considered as her primary health care specialty. Icenhour, Crystal can be contacted via phone (703) 229-0406.

Contact Information

Primary practice address
45925 Horseshoe Dr Ste 170 Sterling VA 20166-6609
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ph.D. Medical Genetics 207SG0205X CLF0001793 Virginia

Profile Details

NPI number 1699262691
LBN Legal business name Icenhour, Crystal
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 16th, 2018
Last updated Jan 20th, 2021 - about 3 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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