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Contact Information

CRYSTAL ICENHOUR, PHD
45925 HORSESHOE DR STE 170
STERLING, VA20166-6609
 Phone: 703-229-0406
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Ph.D. Medical Genetics

207SG0205X
Indicates primary specialty

NPI Profile & details for CRYSTAL ICENHOUR · (Female)

NPI Number 1699262691
Status Active
Credentials PHD
Entity Individual
Enumeration date 04/16/2018
Last updated 01/20/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • VA License # CLF0001793
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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