Crockarell, John R

Crockarell, John R is an individual health care provider with primary practice located at 1400 S Germantown Rd , Germantown TN 38138-2205. He recently has only one registered license in Allopathic & Osteopathic Physicians / Adult Reconstructive Orthopaedic Surgery, which is considered as his primary health care specialty. Crockarell, John R can be contacted via phone (901) 759-3100.

Contact Information

Primary practice address
1400 S Germantown Rd Germantown TN 38138-2205
Phone: (901) 759-3100
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Adult Reconstructive Orthopaedic Surgery 207XS0114X 26205 Tennessee

Profile Details

NPI number 1427044197
LBN Legal business name Crockarell, John R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 27th, 2005
Last updated May 1st, 2018 - about 8 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 1427044197 NPPES
Arkansas MEDICAID 165770001
Arkansas MEDICAID 3813362
Arkansas MEDICAID 04700246

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