Crookston, Garr J

Crookston, Garr J is an individual health care provider with primary practice located at 2314 Central Ave , Alameda CA 94501-4514. He recently has only one registered license in Speech, Language and Hearing Service Providers / Audiologist-Hearing Aid Fitter, which is considered as his primary health care specialty. Crookston, Garr J can be contacted via phone (510) 865-8113.

Contact Information

Primary practice address
2314 Central Ave Alameda CA 94501-4514
Phone: (510) 865-8113
Fax: (510) 865-8115
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Audiologist-Hearing Aid Fitter 237600000X 108267-4101 Utah

Profile Details

NPI number 1104999200
LBN Legal business name Crookston, Garr J
Credentials AU.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 16th, 2006
Last updated Apr 26th, 2012 - about 13 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 1104999200 NPPES
Utah Other 00001814488-05 UHC

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