Mccrosky, Stephen

Mccrosky, Stephen is an individual health care provider with primary practice located at 620 Lee St , Winslow AZ 86047-2435. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as his primary health care specialty. Mccrosky, Stephen can be contacted via phone (928) 289-2000.

Contact Information

Primary practice address
620 Lee St Winslow AZ 86047-2435
Phone: (928) 289-2000
Fax: (928) 289-0036
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X AP2536 Arizona

Profile Details

NPI number 1295804888
LBN Legal business name Mccrosky, Stephen
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 7th, 2006
Last updated Oct 22nd, 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 1295804888 NPPES
Arizona MEDICAID 176264

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