Crogan, Terrance B

Crogan, Terrance B is an individual health care provider with primary practice located at 3974 Boardman Canfield Rd , Canfield OH 44406. He recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as his primary health care specialty. Crogan, Terrance B can be contacted via phone (330) 533-6767.

Contact Information

Primary practice address
3974 Boardman Canfield Rd Canfield OH 44406
Fax: (330) 533-1665
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X Ohio

Profile Details

NPI number 1427006428
LBN Legal business name Crogan, Terrance B
Credentials MA MS CAGS
Entity Individual
Sole proprietor 1 No
Enumeration date May 4th, 2006
Last updated Jul 8th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1427006428 NPPES
Ohio MEDICAID 2053647

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