Crofut, Nicholas

Crofut, Nicholas is an individual health care provider with primary practice located at 30200 Telegraph Rd Suite 220, Bingham Farms MI 48025-4502. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Crofut, Nicholas can be contacted via phone (248) 258-5058.

Contact Information

Primary practice address
30200 Telegraph Rd Suite 220 Bingham Farms MI 48025-4502
Phone: (248) 258-5058
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 4704236483 Michigan

Profile Details

NPI number 1588620454
LBN Legal business name Crofut, Nicholas
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 21st, 2006
Last updated Aug 23rd, 2017 - about 7 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 1588620454 NPPES
Michigan Other P00293187 RAILROAD MEDICARE
Michigan MEDICAID 104822930 RAILROAD MEDICARE

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