Croco, Matthew A.T.
Croco, Matthew A.T. is an sole proprietor health care provider with primary practice located at 2451 Coral Ct Ste 2 , Coralville IA 52241-2837. He recently has only one registered license in Dental Providers / Orthodontics and Dentofacial Orthopedics, which is considered as his primary health care specialty. Croco, Matthew A.T. can be contacted via phone (319) 545-7600.Contact Information
Primary practice address
2451 Coral Ct Ste 2
Coralville IA 52241-2837
Phone: (319) 545-7600
Fax: (319) 545-7640
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Orthodontics and Dentofacial Orthopedics | 1223X0400X | 08174 | Iowa |
Profile Details
| NPI number | 1578585691 |
|---|---|
| LBN Legal business name | Croco, Matthew A.T. |
| Credentials | D.D.S, M.S. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 25th, 2006 |
| 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 | 1578585691 | NPPES |
| Iowa | MEDICAID | 0463018 |
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