Croft, Della D

Croft, Della D is an individual health care provider with primary practice located at 403 E 1St St , Dixon IL 61021. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Croft, Della D can be contacted via phone (815) 285-5629.

Contact Information

Primary practice address
403 E 1St St Dixon IL 61021
Phone: (815) 285-5629
Fax: (815) 285-5634
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA312 Kentucky
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 085000762 Illinois

Profile Details

NPI number 1154347359
LBN Legal business name Croft, Della D
Credentials PAC
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 14th, 2006
Last updated Oct 9th, 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 1154347359 NPPES
Illinois Other F400559193 MEDICARE PTAN

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