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:
Health care specialties
| Specialty | Code | License # | 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 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1427044197 | NPPES |
| Arkansas | MEDICAID | 165770001 | |
| Arkansas | MEDICAID | 3813362 | |
| Arkansas | MEDICAID | 04700246 |
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