Croom, John E

Croom, John E is an individual health care provider with primary practice located at 4400 Broadway Suite 520, Kansas City MO 64111-3498. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Croom, John E can be contacted via phone (816) 531-4080.

Contact Information

Primary practice address
4400 Broadway Suite 520 Kansas City MO 64111-3498
Phone: (816) 531-4080
Fax: (816) 531-0281
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 2006004083 Missouri
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 04-31775 Kansas

Profile Details

NPI number 1952352908
LBN Legal business name Croom, John E
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 15th, 2006
Last updated May 8th, 2015 - about 10 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 1952352908 NPPES
Kansas MEDICAID 200381380A
Kansas MEDICAID 200644508
Kansas Other 36305017
Kansas Other 7438509
Kansas MEDICAID 200381380B

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