Croker, Ivey N
Croker, Ivey N is an individual health care provider with primary practice located at 2100 Charlie Hall Blvd , Charleston SC 29414-5832. She recently has only one registered license in Other Service Providers / Peer Specialist, which is considered as her primary health care specialty. Croker, Ivey N can be contacted via phone (843) 852-4100.Contact Information
Primary practice address
2100 Charlie Hall Blvd
Charleston SC 29414-5832
Phone: (843) 852-4100
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Peer Specialist | 175T00000X |
Profile Details
| NPI number | 1679037188 |
|---|---|
| LBN Legal business name | Croker, Ivey N |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 29th, 2019 |
| Last updated | Jan 29th, 2019 - about 6 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 | 1679037188 | NPPES |
| South Carolina | MEDICAID | 1760596480 |
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