Crockett, Mary Alice
Crockett, Mary Alice is an sole proprietor health care provider with primary practice located at 10700 Alloway Dr , Potomac MD 20854-1601. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Crockett, Mary Alice can be contacted via phone (301) 299-3152.Contact Information
Primary practice address
10700 Alloway Dr
Potomac MD 20854-1601
Phone: (301) 299-3152
Fax: (301) 983-9651
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | D0020413 | Maryland |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | MD3191 | District of Columbia |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | V-015 | Mississippi |
Profile Details
| NPI number | 1831426980 |
|---|---|
| LBN Legal business name | Crockett, Mary Alice |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 11th, 2009 |
| Last updated | Nov 11th, 2009 - about 15 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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