Crockford, Nicole Lynne
Crockford, Nicole Lynne is an individual health care provider with primary practice located at 2030 North Church Place , Spartanburg SC 29303. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Crockford, Nicole Lynne can be contacted via phone (864) 582-6858.Contact Information
Primary practice address
2030 North Church Place
Spartanburg SC 29303
Phone: (864) 582-6858
Fax: (864) 583-9360
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | A945 | South Carolina |
Profile Details
| NPI number | 1265480065 |
|---|---|
| LBN Legal business name | Crockford, Nicole Lynne |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 4th, 2006 |
| 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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