Crandell, John Smith
Crandell, John Smith is an individual health care provider with primary practice located at 125 S Cameron St , Winchester VA 22601-4732. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Crandell, John Smith can be contacted via phone (540) 722-0750.Contact Information
Primary practice address
125 S Cameron St
Winchester VA 22601-4732
Phone: (540) 722-0750
Fax: (540) 722-0751
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 0810001152 | Virginia |
Profile Details
| NPI number | 1144312489 |
|---|---|
| LBN Legal business name | Crandell, John Smith |
| Credentials | PHD |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 28th, 2006 |
| Last updated | Oct 19th, 2011 - about 14 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 | 1144312489 | NPPES |
| Virginia | Other | 336700 | ANTHEM BC/BS |
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