Sean Cropper

Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Oneida, WI

NPI 1750817607 · NPPES record last updated May 11, 2017

Key facts

NPI
1750817607
Entity type
Individual (NPI type 1)
Primary specialty
Student in an Organized Health Care Education/Training Program 390200000X
Practice address
4720 Wedgestone CT
Oneida, WI 54155-8701
Phone
(920) 217-3173
NPI assigned
May 11, 2017
Sex
Male
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X Yes

Addresses

Primary practice location

4720 Wedgestone CT
Oneida, WI 54155-8701

Mailing address

4720 Wedgestone CT
Oneida, WI 54155-8701
Phone (920) 217-3173

Other providers in Oneida, WI

All providers in Oneida, WI · Student in an Organized Health Care Education/Training Program in Wisconsin

Sources for this page

Verify at the official NPI Registry.