Crocker, Julie S.

Crocker, Julie S. is an individual health care provider with primary practice located at 133 Brookline Ave , Boston MA 02215-3904. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Crocker, Julie S. can be contacted via phone (617) 421-1347.

Contact Information

Primary practice address
133 Brookline Ave Boston MA 02215-3904
Phone: (617) 421-1347
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 15884 Massachusetts

Profile Details

NPI number 1487617668
LBN Legal business name Crocker, Julie S.
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 10th, 2006
Last updated May 1st, 2008 - 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 1487617668 NPPES
Massachusetts Other UX8596 MEDICARE PTAN
Massachusetts Other 908025 MEDICARE PTAN
Massachusetts Other B501027 MEDICARE PTAN
Massachusetts Other HV0001 MEDICARE PTAN
Massachusetts Other Y68073 MEDICARE PTAN
Massachusetts Other 0026868 MEDICARE PTAN
Massachusetts MEDICAID 0396966 MEDICARE PTAN

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