Mccrovitz, Anthony M.

Mccrovitz, Anthony M. is an sole proprietor health care provider with primary practice located at 621 Broadway , Chesterton IN 46304-2259. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Psychologist. Behavioral Health & Social Service Providers / Psychologist is his primary health care specialty. Mccrovitz, Anthony M. can be contacted via phone (219) 921-5492.

Contact Information

Primary practice address
621 Broadway Chesterton IN 46304-2259
Phone: (219) 921-5492
Fax: (219) 921-0143
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 39002197A Indiana
Behavioral Health & Social Service Providers / Psychologist 103T00000X 20043441A Indiana

Profile Details

NPI number 1740587559
LBN Legal business name Mccrovitz, Anthony M.
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 15th, 2011
Last updated Feb 23rd, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1740587559 NPPES
Indiana MEDICAID 100110700

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