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
Phone: (718) 960-6295
Fax: (718) 960-3218
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1154356004 | NPPES |
New York | MEDICAID | 01010315 |
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