Crockett, Boyd D.

Crockett, Boyd D. is an individual health care provider with primary practice located at 3555 S National Ave #302, Springfield MO 65807-7310. He recently has only one registered license in Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, which is considered as his primary health care specialty. Crockett, Boyd D. can be contacted via phone (417) 269-6868.

Contact Information

Primary practice address
3555 S National Ave #302 Springfield MO 65807-7310
Phone: (417) 269-6868
Fax: (417) 269-6865
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X 2001019052 Missouri

Profile Details

NPI number 1427166537
LBN Legal business name Crockett, Boyd D.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 28th, 2006
Last updated Nov 10th, 2025 - about last year

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 1427166537 NPPES
Missouri MEDICAID 205373509
Missouri Other 146824

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