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:
Health care specialties
| Specialty | Code | License # | 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 2 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 | 1275506073 | NPPES |
| Wisconsin | MEDICAID | 100001925 |
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