Croson, William B

Croson, William B is an sole proprietor health care provider with primary practice located at 790 E 5Th St , Coquille OR 97423-1755. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pain Medicine, which is considered as his primary health care specialty. Croson, William B can be contacted via phone (541) 396-3111.

Contact Information

Primary practice address
790 E 5Th St Coquille OR 97423-1755
Phone: (541) 396-3111
Fax: (541) 396-5891
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pain Medicine 208VP0000X MD27659 Oregon

Profile Details

NPI number 1376610915
LBN Legal business name Croson, William B
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 29th, 2006
Last updated May 20th, 2013 - about 12 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 1376610915 NPPES
Oregon MEDICAID 006216
Oregon Other 1407812365
Oregon Other 930635514
Oregon Other R0000WFBTV

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