Crockett, William B
Crockett, William B is an individual health care provider with primary practice located at 5942 34Th St W , Bradenton FL 34210-3683. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Crockett, William B can be contacted via phone (941) 782-4860.Contact Information
Primary practice address
5942 34Th St W
Bradenton FL 34210-3683
Phone: (941) 782-4860
Fax: (941) 782-4899
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | ME63064 | Florida |
Profile Details
| NPI number | 1760478218 |
|---|---|
| LBN Legal business name | Crockett, William B |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 21st, 2005 |
| Last updated | Nov 16th, 2011 - about 14 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 | 1760478218 | NPPES |
| Florida | MEDICAID | 377289600 |
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