Croak, Andrew J.
Croak, Andrew J. is an individual health care provider with primary practice located at 6005 Monclova Rd Ste 320 , Maumee OH 43537-1862. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Female Pelvic Medicine and Reconstructive Surgery, Allopathic & Osteopathic Physicians / Gynecology, Allopathic & Osteopathic Physicians / Urology. Allopathic & Osteopathic Physicians / Female Pelvic Medicine and Reconstructive Surgery is his primary health care specialty. Croak, Andrew J. can be contacted via phone (419) 893-7134.Contact Information
Primary practice address
6005 Monclova Rd Ste 320
Maumee OH 43537-1862
Phone: (419) 893-7134
Fax: (419) 893-6942
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Female Pelvic Medicine and Reconstructive Surgery | 207VF0040X | OH6943C | Ohio |
| Allopathic & Osteopathic Physicians / Gynecology | 207VG0400X | 34006843 | Ohio |
| Allopathic & Osteopathic Physicians / Urology | 208800000X | 34006843 | Ohio |
Profile Details
| NPI number | 1073581724 |
|---|---|
| LBN Legal business name | Croak, Andrew J. |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 9th, 2006 |
| Last updated | May 10th, 2024 - about last year |
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 | 1073581724 | NPPES |
| Ohio | MEDICAID | 2117793 |
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