Crook, Larry Dennis

Crook, Larry Dennis is an sole proprietor health care provider with primary practice located at Us Hwy 491 North , Shiprock NM 87420. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Critical Care Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Critical Care Medicine is his primary health care specialty. Crook, Larry Dennis can be contacted via phone (505) 368-6001.

Contact Information

Primary practice address
Us Hwy 491 North Shiprock NM 87420
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MD09270 Oregon
Allopathic & Osteopathic Physicians / Critical Care Medicine 207RC0200X MD09270 Oregon
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X MD09270 Oregon

Profile Details

NPI number 1467429118
LBN Legal business name Crook, Larry Dennis
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 1st, 2006
Last updated May 20th, 2008 - about 16 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 1467429118 NPPES
New Mexico MEDICAID S0411
New Mexico MEDICAID 10334823
New Mexico MEDICAID 415598
New Mexico MEDICAID 277903

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