Croker, John

Croker, John is an individual health care provider with primary practice located at 135 E Minnesota Ave , Orange City FL 32763-2312. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as his primary health care specialty. Croker, John can be contacted via phone (386) 241-0274.

Contact Information

Primary practice address
135 E Minnesota Ave Orange City FL 32763-2312
Phone: (386) 241-0274
Fax: (386) 241-0275
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X ARNP 3333802 Florida

Profile Details

NPI number 1518927763
LBN Legal business name Croker, John
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 23rd, 2006
Last updated Aug 12th, 2020 - about 4 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 1518927763 NPPES
Florida MEDICAID 305918900

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