Crockett, Mary Alice

Crockett, Mary Alice is an sole proprietor health care provider with primary practice located at 10700 Alloway Dr , Potomac MD 20854-1601. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Crockett, Mary Alice can be contacted via phone (301) 299-3152.

Contact Information

Primary practice address
10700 Alloway Dr Potomac MD 20854-1601
Phone: (301) 299-3152
Fax: (301) 983-9651
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X D0020413 Maryland
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MD3191 District of Columbia
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X V-015 Mississippi

Profile Details

NPI number 1831426980
LBN Legal business name Crockett, Mary Alice
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 11th, 2009
Last updated Nov 11th, 2009 - about 17 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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