Croke, Virginia
Croke, Virginia is an individual health care provider with primary practice located at 131 Ornac John Cumming Bldg #200, Concord MA 01742. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Croke, Virginia can be contacted via phone (978) 287-3436.Contact Information
Primary practice address
131 Ornac John Cumming Bldg #200
Concord MA 01742
Phone: (978) 287-3436
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Adult Health | 363LA2200X | 175037 | Massachusetts |
Profile Details
| NPI number | 1851360580 |
|---|---|
| LBN Legal business name | Croke, Virginia |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 15th, 2006 |
| Last updated | Mar 31st, 2010 - about 16 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1851360580 | NPPES |
| Massachusetts | Other | M15769 | BCBS |
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