Crosland, Jack W

Crosland, Jack W is an individual health care provider with primary practice located at 2240 Adams Ave , Ogden UT 84401-1511. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Crosland, Jack W can be contacted via phone (801) 393-5355.

Contact Information

Primary practice address
2240 Adams Ave Ogden UT 84401-1511
Phone: (801) 393-5355
Fax: (801) 394-4609
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 159595-1205 Utah

Profile Details

NPI number 1750373247
LBN Legal business name Crosland, Jack W
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 19th, 2005
Last updated Nov 22nd, 2011 - 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1750373247 NPPES
Other QM000053820 ALTIUS
MEDICAID 870680455007 ALTIUS
Other 870680455CRO ALTIUS
Other 05391 ALTIUS
Other 6273 ALTIUS
Other 107004879101 ALTIUS
Other 68969 ALTIUS
Other 810680455A005 ALTIUS

Popular Providers