Crocetti, Daniel Paul

Crocetti, Daniel Paul is an individual health care provider with primary practice located at 600 Highland Ave , Madison WI 53792-0001. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Surgical, Physician Assistants & Advanced Practice Nursing Providers / Medical. Physician Assistants & Advanced Practice Nursing Providers / Medical is his primary health care specialty. Crocetti, Daniel Paul can be contacted via phone (608) 263-1531.

Contact Information

Primary practice address
600 Highland Ave Madison WI 53792-0001
Phone: (608) 263-1531
Fax: (608) 263-2136
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 4325 Wisconsin
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 4325 Wisconsin

Profile Details

NPI number 1154825255
LBN Legal business name Crocetti, Daniel Paul
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 22nd, 2018
Last updated Feb 21st, 2022 - about 4 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1154825255 NPPES
Other 1151133 NCCPA

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