Croom, James C

Croom, James C is an individual health care provider with primary practice located at 230 Highway 5 N Ste 20 , Mountain Home AR 72653-3031. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Croom, James C can be contacted via phone (870) 425-6212.

Contact Information

Primary practice address
230 Highway 5 N Ste 20 Mountain Home AR 72653-3031
Phone: (870) 425-6212
Fax: (870) 508-6896
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X C6073 Arkansas

Profile Details

NPI number 1013961994
LBN Legal business name Croom, James C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 22nd, 2006
Last updated Dec 1st, 2017 - about 7 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 1013961994 NPPES
Arkansas MEDICAID 101997001

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