Crovetti, Gregory E

Crovetti, Gregory E is an individual health care provider with primary practice located at 7300 Washington Ave Ste B , Mount Pleasant WI 53406-6525. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Sports Medicine is his primary health care specialty. Crovetti, Gregory E can be contacted via phone (262) 321-6060.

Contact Information

Primary practice address
7300 Washington Ave Ste B Mount Pleasant WI 53406-6525
Phone: (262) 321-6060
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 036096721 Illinois
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 036096721 Illinois
Allopathic & Osteopathic Physicians / Sports Medicine 207RS0010X 036-096721 Illinois
Allopathic & Osteopathic Physicians / Sports Medicine 2081S0010X 360967212 Illinois
Allopathic & Osteopathic Physicians / Sports Medicine 207RS0010X 68469 Wisconsin

Profile Details

NPI number 1750311999
LBN Legal business name Crovetti, Gregory E
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 4th, 2006
Last updated Dec 20th, 2021 - about 5 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 1750311999 NPPES
Illinois Other 036096721 BLUE SHIELD-IL
Illinois MEDICAID 100073695 BLUE SHIELD-IL
Illinois Other 1619414 BLUE SHIELD-IL

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