Croasdale, Terry Lee
Croasdale, Terry Lee is an individual health care provider with primary practice located at 1262 E North St , Manteca CA 95336-4962. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Croasdale, Terry Lee can be contacted via phone (209) 823-7646.Contact Information
Primary practice address
1262 E North St
Manteca CA 95336-4962
Phone: (209) 823-7646
Fax: (209) 239-9594
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | C43012 | California |
Profile Details
| NPI number | 1295713147 |
|---|---|
| LBN Legal business name | Croasdale, Terry Lee |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 1st, 2006 |
| Last updated | Apr 9th, 2010 - about 15 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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