Jennifer V Crocker in Indianapolis - Pediatric Rehabilitation Medicine

Jennifer V Crocker - NPI 1356445878

Jennifer V Crocker is a Pediatric Rehabilitation Medicine in Indianapolis, Indiana. Jennifer V Crocker practices all healthcare services and medical treatments related to Pediatric Rehabilitation Medicine. The NPI Number for Jennifer V Crocker is 1356445878. The last update date is 2008-01-23.

Jennifer V Crocker's current location address is Po Box 1026, Indianapolis, Indiana. You can contact this provider via phone number 3172741201 and fax number 3172789905. The mailing address for Jennifer V Crocker is Po Box 1026, Indianapolis, Indiana. To know further, please read the information below!

Provider Profile Detail

Provider Name Jennifer V Crocker
Address Po Box 1026, Indianapolis, Indiana
Phone Number 3172741201
Fax Number 3172789905
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1356445878
Provider Enumeration Date 2006-09-13
Last Updated Date 2008-01-23

Provider Mailing Address Detail

Address Po Box 1026
City Indianapolis
State Indiana (IN)
Post Code 462061026
Phone Number 3172741201
Fax Number 3172789905

Provider's Primary Taxonomy Detail

Speciality Pediatric Rehabilitation Medicine
Taxonomy 2081P0010X
Licence No 1057865
Definition:
A physiatrist who utilizes an interdisciplinary approach and addresses the prevention, diagnosis, treatment and management of congenital and childhood-onset physical impairments including related or secondary medical, physical, functional, psychosoci

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
200446960 IN --
64066848 KY --

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FAQs about Jennifer V Crocker

What is the Jennifer V Crocker's 1356445878?

The Jennifer V Crocker's NPI (National Provider Identifier) Number is 1356445878. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete physical location address of Jennifer V Crocker?

The Jennifer V Crocker is physically situated at Po Box 1026, in the city of Indianapolis, state of IN, with the postal code 462061026.

What is Jennifer V Crocker's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Jennifer V Crocker is Pediatric Rehabilitation Medicine, and the taxonomy classification code that categorizes this area of expertise is 2081P0010X.

On what date did the Centers for Medicare & Medicaid Services issue the 1356445878 to Jennifer V Crocker?

The Jennifer V Crocker received its 1356445878 assignment from the Centers for Medicare & Medicaid Services on 2006-09-13.

As of what date were the details pertaining to Jennifer V Crocker last refreshed?

The information related to the Jennifer V Crocker, including its address, specialty, and other relevant details, was last updated on 2008-01-23.

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