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Contact Information

DAVID K CROSHAW, DPM
1155 POCATELLO CREEK RD
POCATELLO, ID83201-2949
 Phone: 208-232-0006
 Fax: 208-233-8771
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Podiatrist

213E00000X 48 Podiatry
Indicates primary specialty

NPI Profile & details for DAVID K CROSHAW · (Male)

NPI Number 1518949684
Status Active
Credentials DPM (Doctor of Podiatric Medicine)
Entity Individual
Enumeration date 11/15/2005
Last updated 09/28/2011 - About 15 years ago
Sole proprietor 1 Yes
Identifiers
  • ID License # P92
  • ID Medicaid 000806000
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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