Crocenelli, Theresa Marie
Crocenelli, Theresa Marie is an sole proprietor health care provider with primary practice located at 974 Beaver Grade Rd , Moon Township PA 15108-2746. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Crocenelli, Theresa Marie can be contacted via phone (412) 264-6117.Contact Information
Primary practice address
974 Beaver Grade Rd
Moon Township PA 15108-2746
Phone: (412) 264-6117
Fax: (412) 264-6159
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | MD070629L | Pennsylvania |
Profile Details
NPI number | 1023005618 |
---|---|
LBN Legal business name | Crocenelli, Theresa Marie |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Sep 29th, 2005 |
Last updated | Jun 11th, 2013 - about 11 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1023005618 | NPPES |
Pennsylvania | MEDICAID | 1807242 |
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