Croughan, David R
Croughan, David R is an individual health care provider with primary practice located at 2 W Fern Ave , Redlands CA 92373-5916. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Croughan, David R can be contacted via phone (909) 793-3311.Contact Information
Primary practice address
2 W Fern Ave
Redlands CA 92373-5916
Phone: (909) 793-3311
Fax: (909) 796-4158
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | A36331 | California |
Profile Details
| NPI number | 1801820949 |
|---|---|
| LBN Legal business name | Croughan, David R |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 11th, 2006 |
| Last updated | Jul 8th, 2007 - about 19 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 | 1801820949 | NPPES |
| California | MEDICAID | 00A363310 |
Popular Providers
-
Carter, Cameo Ashley
255 Terracina Blvd Suite 205 A/B, Redlands CA 92373-4870 -
Webb, Jana Lynn
1600 E Citrus Ave , Redlands CA 92374-4270 -
Barr, Heather Marie
1690 Barton Rd Ste 104 , Redlands CA 92373-4230 -
Cohen, Seth Adam
1600 E Citrus Ave Ste A , Redlands CA 92374-4802 -
Gendy-Shaker, Elizabeth S
1690 Barton Rd Ste 104 , Redlands CA 92373-4230 -
Dixon, Varonica
1690 Barton Rd Ste 104 , Redlands CA 92373-4230 -
Mailander, Mary M
1690 Barton Rd Ste 104 , Redlands CA 92373-4230 -
White, Julia Ann
1690 Barton Rd Ste 104 , Redlands CA 92373-4230