Crocker, Caleb
Crocker, Caleb is an individual health care provider with primary practice located at 3443 Dickerson Pike Ste 190 , Nashville TN 37207-2533. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as his primary health care specialty. Crocker, Caleb can be contacted via phone (615) 860-1580.Contact Information
Primary practice address
3443 Dickerson Pike Ste 190
Nashville TN 37207-2533
Phone: (615) 860-1580
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Surgical | 363AS0400X | 4901 | Tennessee |
Profile Details
| NPI number | 1902329550 |
|---|---|
| LBN Legal business name | Crocker, Caleb |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 25th, 2017 |
| Last updated | Sep 13th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1902329550 | NPPES |
| Tennessee | MEDICAID | Q076869 |
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