Croake, Tricia
Croake, Tricia is an sole proprietor health care provider with primary practice located at 165 Turnberry Way , Pinehurst NC 28374-8509. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Interventional Pain Medicine, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is her primary health care specialty. Croake, Tricia can be contacted via phone (910) 889-8822.Contact Information
Primary practice address
165 Turnberry Way
Pinehurst NC 28374-8509
Phone: (910) 889-8822
Fax: (910) 889-8922
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Interventional Pain Medicine | 208VP0014X | 35076834 | Ohio |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 35076834C | Ohio |
Profile Details
| NPI number | 1407859473 |
|---|---|
| LBN Legal business name | Croake, Tricia |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 24th, 2005 |
| Last updated | Jan 9th, 2024 - about 11 months 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 | 1407859473 | NPPES |
| Ohio | Other | 42799948 | AETNA |
| Ohio | Other | 76834 | AETNA |
| Ohio | MEDICAID | 2268988 | AETNA |
| Ohio | Other | CR4057144 | AETNA |
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