Crake, Roger F
Crake, Roger F is an sole proprietor health care provider with primary practice located at 695 E 16Th St Suite C, Berwick PA 18603-2320. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Crake, Roger F can be contacted via phone (570) 759-3561.Contact Information
Primary practice address
695 E 16Th St Suite C
Berwick PA 18603-2320
Phone: (570) 759-3561
Fax: (570) 759-0314
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 022637-E | Pennsylvania |
Profile Details
| NPI number | 1295733418 |
|---|---|
| LBN Legal business name | Crake, Roger F |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 12th, 2005 |
| Last updated | Dec 10th, 2009 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1295733418 | NPPES |
| Pennsylvania | MEDICAID | 0009046710002 |
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