Crocker, Michael Andrew

Crocker, Michael Andrew is an individual health care provider with primary practice located at 1400 E Boulder St Ste 2508 , Colorado Springs CO 80909-5533. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Crocker, Michael Andrew can be contacted via phone (719) 365-6999.

Contact Information

Primary practice address
1400 E Boulder St Ste 2508 Colorado Springs CO 80909-5533
Phone: (719) 365-6999
Fax: (719) 365-2837
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 40093 Colorado

Profile Details

NPI number 1720052269
LBN Legal business name Crocker, Michael Andrew
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 13th, 2006
Last updated Feb 1st, 2019 - about 6 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 1720052269 NPPES
Colorado MEDICAID 71972765

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