Crockett, Joseph Gratton
Crockett, Joseph Gratton is an sole proprietor health care provider with primary practice located at 6724 Morgan Ct , Young Harris GA 30582-2551. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics, which is considered as his primary health care specialty. Crockett, Joseph Gratton can be contacted via phone (706) 379-4068.Contact Information
Primary practice address
6724 Morgan Ct
Young Harris GA 30582-2551
Phone: (706) 379-4068
Fax: (706) 379-0640
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics | 225XP0200X | OT000783 | Georgia |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics | 225XP0200X | 6316 | North Carolina |
Profile Details
| NPI number | 1952444952 |
|---|---|
| LBN Legal business name | Crockett, Joseph Gratton |
| Credentials | Registered Occupational Therapist (OTR) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 15th, 2007 |
| Last updated | Jul 9th, 2007 - about 18 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 | 1952444952 | NPPES |
| Georgia | MEDICAID | 00969647A |
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