Crocker, Mark Emery

Crocker, Mark Emery is an individual health care provider with primary practice located at 530 Nw 27Th Street , Corvallis OR 97330. He recently has only one registered license in Other Service Providers / Community Health Worker, which is considered as his primary health care specialty. Crocker, Mark Emery can be contacted via phone (541) 766-6835.

Contact Information

Primary practice address
530 Nw 27Th Street Corvallis OR 97330
Phone: (541) 766-6835
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Community Health Worker 172V00000X

Profile Details

NPI number 1073814208
LBN Legal business name Crocker, Mark Emery
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 4th, 2010
Last updated Jun 15th, 2011 - about 14 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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