Croston, James K
Croston, James K is an individual health care provider with primary practice located at 9825 Hospital Dr Ste 105 , Maple Grove MN 55369-4769. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Croston, James K can be contacted via phone (763) 780-6699.Contact Information
Primary practice address
9825 Hospital Dr Ste 105
Maple Grove MN 55369-4769
Phone: (763) 780-6699
Fax: (763) 420-0506
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 29997 | Minnesota |
Profile Details
| NPI number | 1255306148 |
|---|---|
| LBN Legal business name | Croston, James K |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 22nd, 2006 |
| Last updated | Nov 18th, 2019 - about 6 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1255306148 | NPPES |
| Minnesota | MEDICAID | 714208100 |
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