Crotty, John William

Crotty, John William is an individual health care provider with primary practice located at 922 Alden Dr , Auburn NE 68305-3021. He recently has 2 registered licenses in different health care specialties including Eye and Vision Services Providers / Corneal and Contact Management, Eye and Vision Services Providers / Pediatrics. Eye and Vision Services Providers / Corneal and Contact Management is his primary health care specialty. Crotty, John William can be contacted via phone (402) 274-3218.

Contact Information

Primary practice address
922 Alden Dr Auburn NE 68305-3021
Phone: (402) 274-3218
Fax: (402) 274-4538
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Corneal and Contact Management 152WC0802X 815 Nebraska
Eye and Vision Services Providers / Pediatrics 152WP0200X 815 Nebraska

Profile Details

NPI number 1104810795
LBN Legal business name Crotty, John William
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 9th, 2005
Last updated Dec 3rd, 2009 - about 16 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 1104810795 NPPES
Other 47-0610838 FEDERAL TAX I.D.
Other 815 FEDERAL TAX I.D.
Other MC0048745 FEDERAL TAX I.D.

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