Crockett, Elizabeth Lee

Crockett, Elizabeth Lee is an individual health care provider with primary practice located at 4092 Foxwood Dr Ste 101, Virginia Beach VA 23462-5225. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Crockett, Elizabeth Lee can be contacted via phone (757) 686-3508.

Contact Information

Primary practice address
4092 Foxwood Dr Ste 101 Virginia Beach VA 23462-5225
Phone: (757) 686-3508
Fax: (757) 686-0541
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 0110003870 Virginia

Profile Details

NPI number 1306106190
LBN Legal business name Crockett, Elizabeth Lee
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date May 25th, 2012
Last updated May 25th, 2012 - 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.

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