Croom, Angela J
Croom, Angela J is an individual health care provider with primary practice located at 5808 W 110Th St , Overland Park KS 66211-2504. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Croom, Angela J can be contacted via phone (913) 696-8746.Contact Information
Primary practice address
5808 W 110Th St
Overland Park KS 66211-2504
Phone: (913) 696-8746
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 160504 | Massachusetts |
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 0431871 | Kansas |
Profile Details
| NPI number | 1891779906 |
|---|---|
| LBN Legal business name | Croom, Angela J |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 1st, 2005 |
| Last updated | Jun 22nd, 2011 - about 15 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 | 1891779906 | NPPES |
| Missouri | MEDICAID | 201431202 | |
| Missouri | MEDICAID | 200388210A | |
| Missouri | MEDICAID | 3197263 |
Popular Providers
-
Cation, Renee
5808 W 110Th St , Overland Park KS 66211-2504 -
Moore, Paul Dean
7840 W 165Th St Ste 210 , Overland Park KS 66223 -
Sullivan, Lara
14300 Metcalf Ave Ste. 122, Overland Park KS 66223-2987 -
Bush, Todd E
8675 College Boulevard Suite 100, Overland Park KS 66210 -
Martin, Sherri G
5808 W 110Th St Attn Cms Urgent Care Center, Overland Park KS 66211-2504 -
Garner, James A
5808 W 110Th St Attn: Cms Urgent Care Center, Overland Park KS 66211-2504 -
Olson, Thomas H
5808 W 110Th St Attn: Cms Urgent Care Center, Overland Park KS 66211-2504 -
Shipman, Lance
5808 W 110Th St Attn: Cms Urgent Care Center, Overland Park KS 66211-2504