Crockett, Roderick

Crockett, Roderick is an sole proprietor health care provider with primary practice located at 376 E Apple Ave , Muskegon MI 49442-3466. He recently has only one registered license in Nursing Service Related Providers / Nurse's Aide, which is considered as his primary health care specialty. Crockett, Roderick can be contacted via phone (231) 724-4159.

Contact Information

Primary practice address
376 E Apple Ave Muskegon MI 49442-3466
Phone: (231) 724-4159
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Related Providers / Nurse's Aide 376K00000X

Profile Details

NPI number 1225607088
LBN Legal business name Crockett, Roderick
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 24th, 2021
Last updated Jun 24th, 2021 - about 3 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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