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 last year |
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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