Crotzer, David R.

Crotzer, David R. is an individual health care provider with primary practice located at 8303 Dodge St Suite # 300, Omaha NE 68114-4108. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gynecologic Oncology, which is considered as his primary health care specialty. Crotzer, David R. can be contacted via phone (402) 354-5250.

Contact Information

Primary practice address
8303 Dodge St Suite # 300 Omaha NE 68114-4108
Phone: (402) 354-5250
Fax: (402) 354-3437
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gynecologic Oncology 207VX0201X L6019 Texas

Profile Details

NPI number 1578514956
LBN Legal business name Crotzer, David R.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 12th, 2006
Last updated Dec 13th, 2013 - about 12 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 1578514956 NPPES
Iowa MEDICAID 0722033
Iowa MEDICAID 10025044500
Iowa Other P00334395
Iowa MEDICAID 205486103
Iowa MEDICAID 47037660402

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