Crooke, Philip Alan
Crooke, Philip Alan is an individual health care provider with primary practice located at 648 S Walker St , Bloomington IN 47403-2158. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Crooke, Philip Alan can be contacted via phone (812) 331-1810.Contact Information
Primary practice address
648 S Walker St
Bloomington IN 47403-2158
Phone: (812) 331-1810
Fax: (812) 331-1714
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | 1024945 | Indiana |
Profile Details
| NPI number | 1386604841 |
|---|---|
| LBN Legal business name | Crooke, Philip Alan |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 27th, 2006 |
| Last updated | Dec 27th, 2011 - about 14 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 | 1386604841 | NPPES |
| Indiana | MEDICAID | 100184210 |
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