K. Thomas Crocker, D.O., P.C.

LBN: K. Thomas Crocker, D.O., P.C.
K. Thomas Crocker, D.O., P.C. is an health care organization with primary practice located at 4300 Cascade Rd Se Suite 103, Grand Rapids MI 49546-3631. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as the primary health care specialty. K. Thomas Crocker, D.O., P.C. can be contacted via phone (616) 245-4513, or through Thompson, Kerri S via phone (616) 245-4513.

Contact Information

Primary practice address
4300 Cascade Rd Se Suite 103 Grand Rapids MI 49546-3631
Phone: (616) 245-4513
Fax: (616) 245-4802
Website:
Map and Directions
Authorized official contact:
Name: Thompson, Kerri S
Phone: (616) 245-4513

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 5101007635 Michigan

Profile Details

NPI number 1639353071
LBN Legal business name K. Thomas Crocker, D.O., P.C.
DBA Doing business as
Authorized official Thompson, Kerri S
Entity Organization
Organization subpart 1 No
Enumeration date Dec 20th, 2007
Last updated Dec 20th, 2007 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1639353071 NPPES
Michigan MEDICAID 1683584

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