Jonathan W Crocker, MS ATC PED
Specialist/Technologist, Athletic Trainer in Everett, Massachusetts
1598138539- Practice location
- 33 Clarence St Apt 2, Everett, MA 02149-5141
- Phone
- 617-637-6864
- Fax
- —
- Last updated
- November 12, 2015
Jonathan William Crocker is a Specialist/Technologist, Athletic Trainer based in Everett, MA. Jonathan William Crocker practices in Everett, MA and has the professional credentials of MS ATC PED. The NPI Number for Jonathan William Crocker is 1598138539 and holds a License No. 2228 (MA). The current practice location address for Jonathan William Crocker is 33 Clarence St Apt 2, Everett, MA 02149-5141 and can be reached out via phone at 617-637-6864.
Provider Profile Details
- NPI Number
- 1598138539
- Provider Name
- Jonathan William Crocker
- Credential
- MS ATC PED
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 33 Clarence St Apt 2, Everett, MA 02149-5141
- Phone Number
- 617-637-6864
- Primary Taxonomy
- Specialist/Technologist, Athletic Trainer · 2255A2300X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- November 12, 2015
- Last Update Date
- November 12, 2015
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 33 Clarence St Apt 2
Everett, MA 02149-5141 - City
- Everett
- State
- Massachusetts
- Zip
- 02149-5141
- Phone Number
- 617-637-6864
Provider Business Mailing Address Details
- Address
- 33 Clarence St Apt 2
Everett, MA 02149-5141 - City
- Everett
- State
- MA
- Zip
- 02149-5141
- Phone Number
- 617-637-6864
License Information
- License Number
- 2228
- License State
- MA
- Taxonomy
- Specialist/Technologist, Athletic Trainer · 2255A2300X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Jonathan W Crocker, MS ATC PED?
The NPI number of Jonathan W Crocker, MS ATC PED is 1598138539. It was assigned on November 12, 2015 and is currently active in the NPPES registry.
What is the specialty of Jonathan W Crocker, MS ATC PED?
Jonathan W Crocker, MS ATC PED is registered under the primary taxonomy Specialist/Technologist, Athletic Trainer (code 2255A2300X), licensed in MA under license number 2228.
Where does Jonathan W Crocker, MS ATC PED practice?
The practice location is 33 Clarence St Apt 2, Everett, MA 02149-5141. The office can be reached at 617-637-6864 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1598138539 directly on the NPPES registry website.