Croyle, David Jeffrey

Croyle, David Jeffrey is an individual health care provider with primary practice located at 70 Doctors Park , Cape Girardeau MO 63703-4928. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neuroradiology, Allopathic & Osteopathic Physicians / Diagnostic Radiology. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Croyle, David Jeffrey can be contacted via phone (573) 334-6071.

Contact Information

Primary practice address
70 Doctors Park Cape Girardeau MO 63703-4928
Phone: (573) 334-6071
Fax: (573) 334-4739
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neuroradiology 2085N0700X 2002015251 Missouri
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 2002015251 Missouri

Profile Details

NPI number 1114933215
LBN Legal business name Croyle, David Jeffrey
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 31st, 2006
Last updated Oct 29th, 2013 - about 11 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 1114933215 NPPES
Illinois Other 036-107225 IL BLUE CROSS BLUE SHIELD
Illinois Other 063896 IL BLUE CROSS BLUE SHIELD
Illinois Other 430954380CAP IL BLUE CROSS BLUE SHIELD
Illinois MEDICAID 205919707 IL BLUE CROSS BLUE SHIELD
Illinois MEDICAID 149237001 IL BLUE CROSS BLUE SHIELD
Illinois Other 185214 IL BLUE CROSS BLUE SHIELD
Illinois Other 481849 IL BLUE CROSS BLUE SHIELD

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