Crystal Loose
Crystal Loose is a Physician Assistant in Williamsport, Pennsylvania. Qualified in 2014, 12 years ago. Practices with Susquehanna Physician Services, a 612-clinician group and accepts Medicare assignment. Licensed in Pennsylvania.
- Years since qualifying
- 12
- Licensed in
- PA
- In the registry since
- 2014
Practice location Address checks out
1705 Warren Ave Ste 101103Williamsport, PA 17701-2647
Phone: (570) 321-2020
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Surgical Physician Assistant (primary) | Taxonomy 363AS0400X · Licence MA056962 (PA) |
|---|
Record details
| NPI number | 1821406547 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | July 25, 2014 |
| Last updated in NPPES | May 24, 2021 |
Medicare enrollment
| Medicare specialty | PHYSICIAN ASSISTANT |
|---|---|
| Medical school | OTHER |
| Graduated | 2014 (12 years in practice) |
| Group practice | Susquehanna Physician Services — 612 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 2 on file with Medicare |
Other providers in Williamsport
-
Erin Foley, PA
1705 Warren Ave Ste 101-103, Williamsport, PA 17701-2647 · (570) 321-2020