Croasdell, John

Croasdell, John is an individual health care provider with primary practice located at 1451 N Gardner St Phoenix Emergency Services Of Scott County, Llc, Scottsburg IN 47170-7751. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Croasdell, John can be contacted via phone (812) 752-3456.

Contact Information

Primary practice address
1451 N Gardner St Phoenix Emergency Services Of Scott County, Llc Scottsburg IN 47170-7751
Phone: (812) 752-3456
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 01042107A Indiana

Profile Details

NPI number 1497794606
LBN Legal business name Croasdell, John
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 5th, 2006
Last updated Feb 18th, 2008 - about 16 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 1497794606 NPPES
Indiana Other 237840 MEDICARE CORE

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