Cross, David T.

Cross, David T. is an individual health care provider with primary practice located at 134 W Adams St , Morton IL 61550-1802. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Cross, David T. can be contacted via phone (217) 528-7541.

Contact Information

Primary practice address
134 W Adams St Morton IL 61550-1802
Fax: (309) 676-6545
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 036118871 Illinois

Profile Details

NPI number 1831301282
LBN Legal business name Cross, David T.
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 5th, 2007
Last updated Sep 2nd, 2021 - about 3 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 1831301282 NPPES
Illinois MEDICAID 036118871

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