Croan, Jerry

Croan, Jerry is an individual health care provider with primary practice located at 1361 13Th Ave S Suite 215, Jacksonville Beach FL 32250-3233. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Croan, Jerry can be contacted via phone (904) 241-4226.

Contact Information

Primary practice address
1361 13Th Ave S Suite 215 Jacksonville Beach FL 32250-3233
Fax: (904) 270-8957
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X SW5892 Florida

Profile Details

NPI number 1366617128
LBN Legal business name Croan, Jerry
Credentials MSW
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 23rd, 2008
Last updated Apr 23rd, 2008 - about 18 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.

Request for update

Popular Providers