John R Crockarell
Adult Reconstructive Orthopaedic Surgeon
1400 S Germantown Rd
Germantown
, Tennessee 38138-2205
John R Crockarell
Adult Reconstructive Orthopaedic Surgeon
1400 S Germantown Rd
Germantown
, Tennessee 38138-2205
(901) 759-3100
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About
Features
Specialties
- Adult Reconstructive Orthopaedic Surgeon
Languages spoken
- English
Location
First Address
- John R Crockarell
- 1400 S Germantown Rd
- Germantown, TN
- Zip : 38138-2205
- Phone : (901) 759-3100
Second Address
- John R Crockarell
- 1400 S Germantown Rd
- Germantown, TN
- Zip : 38138-2205
- Phone : (901) 759-3100
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207XS0114X | Adult Reconstructive Orthopaedic Surgeon | 26205 | TN |
National Provider Identifier
| NPI | 1427044197 |
|---|---|
| Provider Name | John R Crockarell |
| First Address | Germantown, TN 38138-2205 |
| Second Address | Germantown, TN 38138-2205 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 27/09/2005 |
| Last Update Date | 01/05/2018 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 04700246 | (05) | MS |
| 165770001 | (05) | AR |
| 3813362 | (05) | TN |
| G35366 | (02) | TN |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.