Croswell, Jerad
Croswell, Jerad is an individual health care provider with primary practice located at 46314 Timine Way , Pendleton OR 97801-9417. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Croswell, Jerad can be contacted via phone (541) 966-9830.Contact Information
Primary practice address
46314 Timine Way
Pendleton OR 97801-9417
Phone: (541) 966-9830
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | ATI4639 | Oregon |
Profile Details
| NPI number | 1619603297 |
|---|---|
| LBN Legal business name | Croswell, Jerad |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 27th, 2022 |
| Last updated | Jul 27th, 2022 - about 4 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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