Individual
DR. JOSEPH MARK CRUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC, CCRD, CCSP
Contact information
Practice address
359 COMMONWEALTH AVE STE 120, BRISTOL, VA 24201-3868
(276) 669-0969
(276) 669-0969
Mailing address
359 COMMONWEALTH AVE STE 120, BRISTOL, VA 24201-3868
(276) 669-0969
(276) 669-0969
Taxonomy
Speciality
Code
Description
License number
State
111NS0005X
Sports Physician Chiropractor
Primary
0104001471
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2116065
MAMSI
VA
01
—
241832
BCBS OF VA
VA
01
—
3040218
BCBS OF TN
TN
01
—
541836647
TAX ID#
VA
01
—
5697482
AETNA
VA
Enumeration date
12/01/2006
Last updated
11/12/2025
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