Active NPIIndividual provider

Justin Y Crockett

Specialist in Brattleboro, Vermont

NPI Number1003377151
Practice location
51 Fairviewstreet, Brattleboro, VT 05301-2579
Fax
802-254-7501
Last updated
July 16, 2024

Justin Yates Crockett is a Specialist based in Brattleboro, VT. Justin Yates Crockett practices in Brattleboro, VT. The NPI Number for Justin Yates Crockett is 1003377151. The current practice location address for Justin Yates Crockett is 51 Fairviewstreet, Brattleboro, VT 05301-2579 and can be reached out via phone at 802-254-6028 and via fax at 802-254-7501.

Provider Profile Details

NPI Number
1003377151
Provider Name
Justin Yates Crockett
Provider Entity Type
Individual
Gender
Male
Address
51 Fairviewstreet, Brattleboro, VT 05301-2579
Phone Number
802-254-6028
Fax Number
802-254-7501
Primary Taxonomy
Specialist · 174400000X
Sole Proprietor
No
Provider Enumeration Date
March 29, 2019
Last Update Date
July 16, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
51 Fairviewstreet
Brattleboro, VT 05301-2579
State
Vermont
Zip
05301-2579
Phone Number
802-254-6028
Fax Number
802-254-7501
Brattleboro, VT 05301Get directions →

Provider Business Mailing Address Details

Address
390 River Street
Springfield, VT 05156-2226
City
Springfield
State
VT
Zip
05156-2226
Phone Number
802-886-4500
Fax Number
802-886-4520

License Information

Taxonomy
Specialist · 174400000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Justin Y Crockett?

The NPI number of Justin Y Crockett is 1003377151. It was assigned on March 29, 2019 and is currently active in the NPPES registry.

What is the specialty of Justin Y Crockett?

Justin Y Crockett is registered under the primary taxonomy Specialist (code 174400000X).

Where does Justin Y Crockett practice?

The practice location is 51 Fairviewstreet, Brattleboro, VT 05301-2579. The office can be reached at 802-254-6028 (phone) or 802-254-7501 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1003377151 directly on the NPPES registry website.

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