Crook, Tina M

Crook, Tina M is an individual health care provider with primary practice located at 4170 Cedar Bluff Dr. , Petoskey MI 49770. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Crook, Tina M can be contacted via phone (231) 487-2230.

Contact Information

Primary practice address
4170 Cedar Bluff Dr. Petoskey MI 49770
Phone: (231) 487-2230
Fax: (231) 487-6172
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 5601004367 Michigan

Profile Details

NPI number 1285659953
LBN Legal business name Crook, Tina M
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 13th, 2006
Last updated May 16th, 2013 - about 13 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 1285659953 NPPES
Michigan Other 5601004367 PHSYICIAN ASSISTANT LICEN

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