Crocker, Justin J
Crocker, Justin J is an individual health care provider with primary practice located at 200 E State Highway 114 , Roanoke TX 76262. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Crocker, Justin J can be contacted via phone (817) 567-8040.Contact Information
Primary practice address
200 E State Highway 114
Roanoke TX 76262
Phone: (817) 567-8040
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 19786 | Texas |
Profile Details
| NPI number | 1245358159 |
|---|---|
| LBN Legal business name | Crocker, Justin J |
| Credentials | D.S.S. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 27th, 2007 |
| Last updated | Jul 8th, 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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