Croft, Darrell Glenn

Croft, Darrell Glenn is an sole proprietor health care provider with primary practice located at 2120 Exeter Rd Ste 130 , Germantown TN 38138-3900. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, which is considered as his primary health care specialty. Croft, Darrell Glenn can be contacted via phone (901) 756-1680.

Contact Information

Primary practice address
2120 Exeter Rd Ste 130 Germantown TN 38138-3900
Phone: (901) 756-1680
Fax: (901) 755-3389
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X DPM412 Tennessee

Profile Details

NPI number 1780667188
LBN Legal business name Croft, Darrell Glenn
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 21st, 2005
Last updated Apr 26th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1780667188 NPPES
Mississippi MEDICAID 06934511
Mississippi MEDICAID 33518841

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