Crystal Clark
Driver · Blacksburg, VA
Practice location
3700 S Main StBlacksburg, VA 24060-7017
- Phone
- (540) 951-1111
NPI record
- NPI
- 1477213619
- Entity type
- Individual (Type 1)
- Enumeration date
- December 29, 2021
- Last updated
- December 29, 2021
- Certified
- December 29, 2021
- Sole proprietor
- Yes
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Driver Primary | 172A00000X |
A69874069 | VA |
Mailing address
506 Essex Ct # 1Blacksburg, VA 24060-6464
- Phone
- (804) 429-7185
About Crystal Clark
Crystal Clark is a healthcare provider registered in the NPI registry with the primary taxonomy Driver (code 172A00000X). The practice location is 3700 S Main St, Blacksburg, VA 24060-7017. The NPI number 1477213619 was assigned on December 29, 2021 and the record was last updated on December 29, 2021.
Crystal Clark lists a license in the registry: #A69874069 (VA) for Driver. License numbers are self-reported to NPPES; verify them with the state licensing board.
Frequently asked questions
What is the NPI number of Crystal Clark?
The NPI number is 1477213619.
What is the phone number of Crystal Clark?
The phone number listed for the practice location is (540) 951-1111.
Where is Crystal Clark located?
3700 S Main St, Blacksburg, VA 24060-7017.
What is the taxonomy code for Crystal Clark?
The primary taxonomy code is 172A00000X – Driver.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.
Other Driver providers in Blacksburg
- Tommy Mikal Amal1999 S Main St