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Contact Information

MARTHA CROTTS
5758 ELAINE DR
ROCKFORD, IL61108-3102
 Phone: 815-395-1008
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Child & Adolescent Psychiatry

2084P0804X 86 Physician/Neuropsychiatry
Indicates primary specialty

NPI Profile & details for MARTHA CROTTS · (Female)

NPI # 1174652457
Status Active
Credentials
Entity Individual
Enumeration date 03/05/2007
Last updated 06/01/2020 - About 6 years ago
Sole proprietor 1 No
Identifiers
  • IL License # 036-088318
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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