Croy, Cynthia Diane
Croy, Cynthia Diane is an sole proprietor health care provider with primary practice located at 2504 S Jackson Ave , Joplin MO 64804-1940. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Croy, Cynthia Diane can be contacted via phone (417) 624-4060.Contact Information
Primary practice address
2504 S Jackson Ave
Joplin MO 64804-1940
Phone: (417) 624-4060
Fax: (417) 624-6131
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 111410 | Missouri |
Profile Details
| NPI number | 1720080336 |
|---|---|
| LBN Legal business name | Croy, Cynthia Diane |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 12th, 2005 |
| Last updated | Nov 30th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1720080336 | NPPES |
| Missouri | MEDICAID | 208672519 |
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