Croll, James Edward

Croll, James Edward is an sole proprietor health care provider with primary practice located at 4422 3Rd Ave , Bronx NY 10457-2545. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Croll, James Edward can be contacted via phone (718) 960-6295.

Contact Information

Primary practice address
4422 3Rd Ave Bronx NY 10457-2545
Fax: (718) 960-3218
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 129953 New York

Profile Details

NPI number 1154356004
LBN Legal business name Croll, James Edward
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 11th, 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 1154356004 NPPES
New York MEDICAID 01010315

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