Crocker, Patty J

Crocker, Patty J is an individual health care provider with primary practice located at 9069 W Thunderbird Rd , Peoria AZ 85381. She recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as her primary health care specialty. Crocker, Patty J can be contacted via phone (623) 876-2800.

Contact Information

Primary practice address
9069 W Thunderbird Rd Peoria AZ 85381
Phone: (623) 876-2800
Fax: (623) 876-2389
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X J4757 Texas
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 21076 Arizona

Profile Details

NPI number 1831188911
LBN Legal business name Crocker, Patty J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 20th, 2005
Last updated May 13th, 2019 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1831188911 NPPES
Texas MEDICAID 105650902
Texas MEDICAID 417643
Texas Other J4757

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