Crockett, Joel

Crockett, Joel is an sole proprietor health care provider with primary practice located at 20400 Lake Chabot Rd Ste 202 , Castro Valley CA 94546-5315. He recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as his primary health care specialty. Crockett, Joel can be contacted via phone (510) 881-7822.

Contact Information

Primary practice address
20400 Lake Chabot Rd Ste 202 Castro Valley CA 94546-5315
Phone: (510) 881-7822
Fax: (510) 881-8552
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X A150539 California
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 2009016609 Missouri
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 35.122221 Ohio

Profile Details

NPI number 1316174956
LBN Legal business name Crockett, Joel
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 22nd, 2009
Last updated Mar 8th, 2024 - about 2 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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