Crocetti, Michael
Crocetti, Michael is an individual health care provider with primary practice located at Jhcp Canton Crossing - 1501 S. Clinton St Suite #200, Baltimore MD 21224. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Crocetti, Michael can be contacted via phone (410) 522-9940.Contact Information
Primary practice address
Jhcp Canton Crossing - 1501 S. Clinton St Suite #200
Baltimore MD 21224
Phone: (410) 522-9940
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | D50569 | Maryland |
Profile Details
| NPI number | 1255371399 |
|---|---|
| LBN Legal business name | Crocetti, Michael |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 7th, 2006 |
| Last updated | May 24th, 2018 - about 7 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 | 1255371399 | NPPES |
| Maryland | MEDICAID | 139805900 |
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