Crovetti, Gregory E
Crovetti, Gregory E is an individual health care provider with primary practice located at 7300 Washington Ave Ste B , Mount Pleasant WI 53406-6525. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Sports Medicine is his primary health care specialty. Crovetti, Gregory E can be contacted via phone (262) 321-6060.Contact Information
Primary practice address
7300 Washington Ave Ste B
Mount Pleasant WI 53406-6525
Phone: (262) 321-6060
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 036096721 | Illinois |
Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 036096721 | Illinois |
Allopathic & Osteopathic Physicians / Sports Medicine | 207RS0010X | 036-096721 | Illinois |
Allopathic & Osteopathic Physicians / Sports Medicine | 2081S0010X | 360967212 | Illinois |
Allopathic & Osteopathic Physicians / Sports Medicine | 207RS0010X | 68469 | Wisconsin |
Profile Details
NPI number | 1750311999 |
---|---|
LBN Legal business name | Crovetti, Gregory E |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jul 4th, 2006 |
Last updated | Dec 20th, 2021 - about 3 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 | 1750311999 | NPPES |
Illinois | Other | 036096721 | BLUE SHIELD-IL |
Illinois | MEDICAID | 100073695 | BLUE SHIELD-IL |
Illinois | Other | 1619414 | BLUE SHIELD-IL |
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