Croft, Justin Michael

Croft, Justin Michael is an individual health care provider with primary practice located at 934 Dougherty Rd , Aiken SC 29803-6515. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Surgical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is his primary health care specialty. Croft, Justin Michael can be contacted via phone (036) 430-0588.

Contact Information

Primary practice address
934 Dougherty Rd Aiken SC 29803-6515
Phone: (036) 430-0588
Fax: (803) 643-1776
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 008321 Georgia
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA1895 South Carolina

Profile Details

NPI number 1770835522
LBN Legal business name Croft, Justin Michael
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 3rd, 2012
Last updated Dec 21st, 2020 - about 5 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 1770835522 NPPES
South Carolina MEDICAID 1647PA

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