Crockett, David J.
Crockett, David J. is an sole proprietor health care provider with primary practice located at 4545 E Chandler Blvd Suite 202, Phoenix AZ 85048-7645. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Otolaryngology, Allopathic & Osteopathic Physicians / Pediatric Otolaryngology. Allopathic & Osteopathic Physicians / Pediatric Otolaryngology is his primary health care specialty. Crockett, David J. can be contacted via phone (480) 659-2330.Contact Information
Primary practice address
4545 E Chandler Blvd Suite 202
Phoenix AZ 85048-7645
Phone: (480) 659-2330
Fax: (480) 659-2544
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Otolaryngology | 207Y00000X | 49273 | Arizona |
| Allopathic & Osteopathic Physicians / Pediatric Otolaryngology | 207YP0228X | 49273 | Arizona |
Profile Details
| NPI number | 1225282882 |
|---|---|
| LBN Legal business name | Crockett, David J. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 10th, 2008 |
| Last updated | Feb 15th, 2016 - about 8 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 | 1225282882 | NPPES |
| Arizona | MEDICAID | 922449 |
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