Crotty, Thomas Joseph

Crotty, Thomas Joseph is an sole proprietor health care provider with primary practice located at 290 E Court St , Prestonsburg KY 41653-7932. He recently has only one registered license in Behavioral Health & Social Service Providers / Counseling, which is considered as his primary health care specialty. Crotty, Thomas Joseph can be contacted via phone (606) 205-0712.

Contact Information

Primary practice address
290 E Court St Prestonsburg KY 41653-7932
Phone: (606) 205-0712
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counseling 103TC1900X KY1074 Kentucky

Profile Details

NPI number 1033250006
LBN Legal business name Crotty, Thomas Joseph
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 10th, 2007
Last updated Jul 9th, 2007 - about 18 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 1033250006 NPPES
Kentucky MEDICAID 89000970

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