Crocker, Jovan Antwuane
Crocker, Jovan Antwuane is an sole proprietor health care provider with primary practice located at 3623 Wabash Ave , Baltimore MD 21215-7435. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Primary Care, which is considered as his primary health care specialty. Crocker, Jovan Antwuane can be contacted via phone (410) 262-1063.Contact Information
Primary practice address
3623 Wabash Ave
Baltimore MD 21215-7435
Phone: (410) 262-1063
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Primary Care | 363LP2300X | R187195 | Maryland |
Profile Details
| NPI number | 1871188441 |
|---|---|
| LBN Legal business name | Crocker, Jovan Antwuane |
| Credentials | CRNP |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 5th, 2021 |
| Last updated | Mar 5th, 2021 - about 4 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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