Crisp, Jonathan Gentry

Crisp, Jonathan Gentry is an individual health care provider with primary practice located at 340 Bagley Cir , Marion VA 24354-3126. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Crisp, Jonathan Gentry can be contacted via phone (276) 783-1226.

Contact Information

Primary practice address
340 Bagley Cir Marion VA 24354-3126
Phone: (276) 783-1226
Fax: (276) 783-1425
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 9700221 North Carolina
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 0101239503 Virginia

Profile Details

NPI number 1598735417
LBN Legal business name Crisp, Jonathan Gentry
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 24th, 2006
Last updated Aug 10th, 2008 - about 18 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 1598735417 NPPES
Virginia MEDICAID 89024Y

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