Crocker, Latoya D
Crocker, Latoya D is an individual health care provider with primary practice located at 12655 Warwick Blvd Ste B, Newport News VA 23606. 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, Latoya D can be contacted via phone (757) 599-5551.Contact Information
Primary practice address
12655 Warwick Blvd Ste B
Newport News VA 23606
Phone: (757) 599-5551
Fax: (757) 595-5238
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 2305203475 | Virginia |
Profile Details
NPI number | 1619939808 |
---|---|
LBN Legal business name | Crocker, Latoya D |
Credentials | Master of Physical Therapy (MPT) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Apr 4th, 2006 |
Last updated | Apr 10th, 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1619939808 | NPPES |
Virginia | Other | 192965 | BCBS PHY THERAPY |
Virginia | MEDICAID | 8953015 | BCBS PHY THERAPY |
Virginia | Other | 7080444 | BCBS PHY THERAPY |
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