MS. CRYSTAL CLARK
NPI 1477213619
Driver in Blacksburg, VA
- Individual
- Female
- Driver
About CRYSTAL CLARK
This page provides the complete NPI Profile along with additional information for Crystal Clark, a provider established in Blacksburg, Virginia with a medical specialization in Driver. The healthcare provider is registered in the NPI registry with number 1477213619 assigned on December 2021. The practitioner's primary taxonomy code is 172A00000X with license number A69874069 (VA). The provider is registered as an individual and her NPI record was last updated 5 years ago.
- NPI
- 1477213619 Verify this NPI
- Provider Name
- MS. CRYSTAL CLARK
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 3700 S MAIN ST BLACKSBURG, VA 24060
- Location Phone
- (540) 951-1111
- Mailing Address
- 506 ESSEX CT # 1 BLACKSBURG, VA 24060
- Mailing Phone
- (804) 429-7185
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 12-29-2021
- Last Update Date
- 12-29-2021
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Driver
- Taxonomy Code
- 172A00000X
- Type
- Other Service Providers
- License No.
- A69874069
- License State
- VA
- Taxonomy Description
- A person employed to operate a motor vehicle as a carrier of persons or property.
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Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
BLACKSBURG, VA 24060
BLACKSBURG, VA 24060
BLACKSBURG, VA 24060
BLACKSBURG, VA 24060
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1477213619, enumerated as an "individual" on December 29, 2021.
The provider is located at 3700 S MAIN ST BLACKSBURG, VA 24060 and the phone number is (540) 951-1111.
Driver with taxonomy code 172A00000X.
