Crotta, Peter R

Crotta, Peter R is an individual health care provider with primary practice located at 201 Cedar St Se Suite 6600, Albuquerque NM 87106-4917. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Surgical. Physician Assistants & Advanced Practice Nursing Providers / Surgical is his primary health care specialty. Crotta, Peter R can be contacted via phone (505) 724-4300.

Contact Information

Primary practice address
201 Cedar St Se Suite 6600 Albuquerque NM 87106-4917
Phone: (505) 724-4300
Fax: (505) 724-4384
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 91-165 New Mexico
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 84-PA002 New Mexico

Profile Details

NPI number 1891773818
LBN Legal business name Crotta, Peter R
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 9th, 2006
Last updated Jul 15th, 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 1891773818 NPPES
New Mexico MEDICAID 00093328

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