Crock, Ronald D

Crock, Ronald D is an individual health care provider with primary practice located at 1320 Mercy Dr Nw , Canton OH 44708-2614. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Crock, Ronald D can be contacted via phone (330) 489-1000.

Contact Information

Primary practice address
1320 Mercy Dr Nw Canton OH 44708-2614
Phone: (330) 489-1000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine 207RH0002X 35066830C Ohio
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 35066830C Ohio

Profile Details

NPI number 1457332785
LBN Legal business name Crock, Ronald D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 14th, 2005
Last updated Apr 8th, 2019 - about 6 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 1457332785 NPPES
Ohio Other 2157366 GROUP MEDICAID - MPCC
Ohio Other 1376559799 GROUP MEDICAID - MPCC
Ohio Other 1902827876 GROUP MEDICAID - MPCC
Ohio MEDICAID 0142081 GROUP MEDICAID - MPCC
Ohio Other 2157320 GROUP MEDICAID - MPCC
Ohio Other ME9303389 GROUP MEDICAID - MPCC

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