Crockett, Jennifer Elaine

Crockett, Jennifer Elaine is an individual health care provider with primary practice located at 2225 Old Emmorton Road Suite 210, Bel Air MD 21015-6123. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as her primary health care specialty. Crockett, Jennifer Elaine can be contacted via phone (410) 515-4900.

Contact Information

Primary practice address
2225 Old Emmorton Road Suite 210 Bel Air MD 21015-6123
Phone: (410) 515-4900
Fax: (410) 515-0777
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X 02900 Maryland

Profile Details

NPI number 1649309188
LBN Legal business name Crockett, Jennifer Elaine
Credentials OTRL
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 2nd, 2007
Last updated Jul 8th, 2007 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1649309188 NPPES
Maryland Other 62041301 CAREFIRST BCBS

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