Crocker, Thomas Earl

Crocker, Thomas Earl is an individual health care provider with primary practice located at 2010 W Swain Rd , Stockton CA 95207-4055. He recently has only one registered license in Behavioral Health & Social Service Providers / School, which is considered as his primary health care specialty. Crocker, Thomas Earl can be contacted via phone (209) 953-8868.

Contact Information

Primary practice address
2010 W Swain Rd Stockton CA 95207-4055
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / School 103TS0200X 19019061 California

Profile Details

NPI number 1700626553
LBN Legal business name Crocker, Thomas Earl
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 29th, 2024
Last updated May 29th, 2024 - about last year

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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