Croucher, Mark D

Croucher, Mark D is an sole proprietor health care provider with primary practice located at 219 Mclaws Cir , Williamsburg VA 23185-5649. He recently has 2 registered licenses in different health care specialties including Chiropractic Providers / Chiropractor, Chiropractic Providers / Orthopedic. Chiropractic Providers / Orthopedic is his primary health care specialty. Croucher, Mark D can be contacted via phone (757) 259-1122.

Contact Information

Primary practice address
219 Mclaws Cir Williamsburg VA 23185-5649
Phone: (757) 259-1122
Fax: (757) 259-1123
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 007252 New York
Chiropractic Providers / Orthopedic 111NX0800X 1199 Virginia

Profile Details

NPI number 1861432734
LBN Legal business name Croucher, Mark D
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 7th, 2006
Last updated Nov 10th, 2010 - about 14 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 1861432734 NPPES
Virginia Other 195038 ANTHEM BLUE CROSS
Virginia Other 7967114001 ANTHEM BLUE CROSS

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