Gary Lee Croley Jr.

Individual provider Active NPI Non-emergency Medical Transport (VAN) · Monroe, OH

NPI 1760108583 · NPPES record last updated Oct 13, 2022

Key facts

NPI
1760108583
Entity type
Individual (NPI type 1)
Primary specialty
Non-emergency Medical Transport (VAN) 343900000X
Practice address
857 Hocking Meadow Cir
Monroe, OH 45050-1902
Phone
(513) 991-7433
NPI assigned
Oct 13, 2022
Sex
Male
Sole proprietor
Yes

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
Life Source Transportation Non-Emergency Medical Transport (Van) Current
since Oct 23, 2022
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Non-emergency Medical Transport (VAN) 343900000X OH Yes

Addresses

Primary practice location

857 Hocking Meadow Cir
Monroe, OH 45050-1902

Mailing address

857 Hocking Meadow Cir
Monroe, OH 45050-1902
Phone (513) 991-7433

Other providers in Monroe, OH

All providers in Monroe, OH · Non-emergency Medical Transport (VAN) in Ohio

Sources for this page

Verify at the official NPI Registry.