Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207P00000X | Emergency Physician | 27912-020 | WI |
Y | 207RA0401X | Internist - Addiction Medicine | 27912 | WI |
NPI | 1154388213 |
---|---|
Provider Name | Howard J Croft |
First Address | Madison, WI 53703-2900 |
Second Address | Madison, WI 53703-2900 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/05/2006 |
Last Update Date | 19/10/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
080097548 | MEDICARE RAILROAD (01) | WI |
1154388213 | (05) | WI |
31438700 | (05) | WI |
930068399 | MEDICARE RAILROAD (01) | WI |
D15888 | (02) | WI |
P00233038 | MEDICARE RAILROAD (01) | WI |