Crocker, David A

Crocker, David A is an individual health care provider with primary practice located at 6325 Digital Way Suite 480, Indianapolis IN 46278-1678. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Crocker, David A can be contacted via phone (317) 275-5005.

Contact Information

Primary practice address
6325 Digital Way Suite 480 Indianapolis IN 46278-1678
Phone: (317) 275-5005
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 20805 West Virginia
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 01062616A Indiana

Profile Details

NPI number 1760481816
LBN Legal business name Crocker, David A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 20th, 2005
Last updated Jul 9th, 2007 - about 17 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 1760481816 NPPES
Indiana Other 000000501707 ANTHEM
Indiana MEDICAID 1760481816 ANTHEM
Indiana MEDICAID 1812489000 ANTHEM

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