Mccrorie, Robert Lee

Mccrorie, Robert Lee is an individual health care provider with primary practice located at 1515 E Columbia St , Othello WA 99344-1846. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Mccrorie, Robert Lee can be contacted via phone (509) 488-5256.

Contact Information

Primary practice address
1515 E Columbia St Othello WA 99344-1846
Fax: (509) 488-9939
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA60914371 Washington

Profile Details

NPI number 1073031613
LBN Legal business name Mccrorie, Robert Lee
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 4th, 2017
Last updated Mar 24th, 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 1073031613 NPPES
Washington MEDICAID 2113580

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