Powell, Craig C.

Powell, Craig C. is an individual health care provider with primary practice located at 2921 Telestar Ct Suite 140, Falls Church VA 22042-1205. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Vascular Surgery, Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / Vascular Surgery is his primary health care specialty. Powell, Craig C. can be contacted via phone (703) 280-5858.

Contact Information

Primary practice address
2921 Telestar Ct Suite 140 Falls Church VA 22042-1205
Phone: (703) 280-5858
Fax: (703) 849-0874
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X G88327 California
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X 0101250486 Virginia
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X 51450-20 Wisconsin
Allopathic & Osteopathic Physicians / Surgery 208600000X G88327 California
Allopathic & Osteopathic Physicians / Surgery 208600000X 51450 Wisconsin

Profile Details

NPI number 1275506073
LBN Legal business name Powell, Craig C.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 10th, 2006
Last updated Jan 22nd, 2024 - about 8 months 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 1275506073 NPPES
Wisconsin MEDICAID 100001925

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