Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RC0200X | Critical Care Medicine | 35046185 | OH |
Y | 207RP1001X | Pulmonary Disease | 35046185 | OH |
NPI | 1033216130 |
---|---|
Provider Name | Dr. Alan J Cropp |
First Address | Youngstown, OH 44512-5008 |
Second Address | Youngstown, OH 44512-5008 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 20/09/2006 |
Last Update Date | 14/09/2010 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
000000029004 | ANTHEM (01) | OH |
000000130415 | ANTHEM (01) | OH |
0556394 | (05) | OH |
170710 | BLACK LUNG (01) | OH |
A80290 | (02) | OH |
CR0510193 | PIN (01) | OH |
CR0510195 | PIN (01) | OH |