Crotty, Robert Theus
Crotty, Robert Theus is an individual health care provider with primary practice located at 4110 Parliament Dr , Alexandria LA 71303-2717. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Crotty, Robert Theus can be contacted via phone (318) 448-4488.Contact Information
Primary practice address
4110 Parliament Dr
Alexandria LA 71303-2717
Phone: (318) 448-4488
Fax: (318) 448-9731
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 991006T | Louisiana |
Profile Details
| NPI number | 1659364453 |
|---|---|
| LBN Legal business name | Crotty, Robert Theus |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 26th, 2005 |
| Last updated | Jul 8th, 2007 - about 17 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 | 1659364453 | NPPES |
| Louisiana | MEDICAID | 1355151 |
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