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Contact Information

RICHARD R CROCKER, PhD
46 MASCOMA ST
LEBANON, NH03766-2629
 Phone: 603-381-2564
 Fax: 602-646-2645
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pastoral

101YP1600X
Indicates primary specialty

NPI Profile & details for RICHARD R CROCKER · (Male)

NPI Number 1891717526
Status Active
Credentials PhD
Entity Individual
Enumeration date 07/24/2006
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 Yes
Identifiers
  • NH License # 63
  • NH Medicaid 30424283
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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