Joseph Allen Driskill
Individual provider Active NPI Driver · Rustburg, VA
NPI 1972026250 · NPPES record last updated Jul 21, 2022
Key facts
- NPI
- 1972026250
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Driver 172A00000X
- License
- C24658496 (VA)
- Practice address
- 137 Rhonda Rd.
Rustburg, VA 24588 - Phone
- (434) 316-2354
- Fax
- (434) 332-3989
- NPI assigned
- Jul 19, 2017
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C24658496 | VA | MD | Driver |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Driver | 172A00000X | C24658496 | VA | Yes |
Addresses
Primary practice location
137 Rhonda Rd.
Rustburg, VA 24588
Mailing address
137 Rhonda Rd
Rustburg, VA 24588-3765
Phone (434) 316-2354
Other providers in Rustburg, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 21, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.