Crocker, Edward Frank

Crocker, Edward Frank is an individual health care provider with primary practice located at 255 Baptist Blvd Suite 401, Columbus MS 39705-2011. He recently has only one registered license in Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery), which is considered as his primary health care specialty. Crocker, Edward Frank can be contacted via phone (662) 244-2288.

Contact Information

Primary practice address
255 Baptist Blvd Suite 401 Columbus MS 39705-2011
Phone: (662) 244-2288
Fax: (662) 244-2289
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) 208G00000X 17871 Mississippi

Profile Details

NPI number 1770519951
LBN Legal business name Crocker, Edward Frank
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 23rd, 2006
Last updated Feb 5th, 2015 - about 11 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 1770519951 NPPES
Mississippi MEDICAID 05082097
Mississippi Other 731-04786

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