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
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1902329550 NPPES
Tennessee MEDICAID Q076869

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