Crochelt, Robert F.

Crochelt, Robert F. is an individual health care provider with primary practice located at 246 Hospital Dr , Ukiah CA 95482-4533. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Crochelt, Robert F. can be contacted via phone (707) 462-8011.

Contact Information

Primary practice address
246 Hospital Dr Ukiah CA 95482-4533
Phone: (707) 462-8011
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 35923 Montana
Allopathic & Osteopathic Physicians / Surgery 208600000X G069042 California

Profile Details

NPI number 1225060031
LBN Legal business name Crochelt, Robert F.
Credentials M.D., PHD., F.A.C.S.
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 6th, 2006
Last updated Jul 22nd, 2021 - about 5 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 1225060031 NPPES
West Virginia Other 001953070 MOUNTAIN STATE BCBS
West Virginia Other 22713 MOUNTAIN STATE BCBS
West Virginia MEDICAID 1225060031 MOUNTAIN STATE BCBS
West Virginia Other 0170620 MOUNTAIN STATE BCBS
West Virginia Other WV01756 MOUNTAIN STATE BCBS
West Virginia MEDICAID 3810008522 MOUNTAIN STATE BCBS
West Virginia Other 020032890 MOUNTAIN STATE BCBS
West Virginia Other P00389615 MOUNTAIN STATE BCBS

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