Crockett, John A

Crockett, John A is an individual health care provider with primary practice located at 240 La Casa Via Ste 100 , Walnut Creek CA 94598-4863. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Crockett, John A can be contacted via phone (925) 519-2866.

Contact Information

Primary practice address
240 La Casa Via Ste 100 Walnut Creek CA 94598-4863
Phone: (925) 519-2866
Fax: (925) 692-5522
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X G230620 California
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X G230620 California

Profile Details

NPI number 1134221021
LBN Legal business name Crockett, John A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 2nd, 2006
Last updated Dec 22nd, 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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