Crough, Jackson Thomas
Crough, Jackson Thomas is an sole proprietor health care provider with primary practice located at 47647 Caleo Bay Dr Ste 110 , La Quinta CA 92253-8857. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, which is considered as his primary health care specialty. Crough, Jackson Thomas can be contacted via phone (760) 507-2070.Contact Information
Primary practice address
47647 Caleo Bay Dr Ste 110
La Quinta CA 92253-8857
Phone: (760) 507-2070
Fax: (760) 507-2071
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery | 213ES0103X | E5290 | California |
Profile Details
| NPI number | 1306100722 |
|---|---|
| LBN Legal business name | Crough, Jackson Thomas |
| Credentials | Doctor of Podiatric Medicine (DPM) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 29th, 2012 |
| Last updated | Jun 14th, 2024 - about 6 months 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.
Popular Providers
-
Schneekloth, Brian Joseph
79200 Corporate Center Dr Ste 104 , La Quinta CA 92253-7245 -
Shahabi, Brett Bobak
5 Centerpointe Dr , La Palma CA 90623-1050 -
Nguyen, Ken Cuong
12263 La Mirada Blvd , La Mirada CA 90638-1329 -
Jolley, Bryce D.
47647 Caleo Bay Dr Ste 110, La Quinta CA 92253-8857 -
Fabrikant, Jerry M
5565 Grossmont Center Dr Bldg 3 # 353, La Mesa CA 91942-3007 -
Caine, Samuel
5565 Grossmont Center Dr Ste 510 , La Mesa CA 91942-3024 -
Tarango, Dan B
8851 Center Dr #201, La Mesa CA 91942-3017 -
Chiang, Carole Ishan
2100 Foothill Blvd Ste A , La Verne CA 91750-2905