Crom, Mary D

Crom, Mary D is an individual health care provider with primary practice located at 262 Danny Thomas Pl , Memphis TN 38105-3678. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Pediatrics. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Crom, Mary D can be contacted via phone (901) 595-3006.

Contact Information

Primary practice address
262 Danny Thomas Pl Memphis TN 38105-3678
Phone: (901) 595-3006
Fax: (901) 595-3842
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 5301 Tennessee
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 40375 Tennessee

Profile Details

NPI number 1437136124
LBN Legal business name Crom, Mary D
Credentials RN/NP
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 23rd, 2005
Last updated Feb 16th, 2022 - about 2 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 1437136124 NPPES
Tennessee MEDICAID 3349775

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