Individual
ALBERT ALLEN CROOK
Active
Individual
ALBERT ALLEN CROOK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
0134
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000010138014
REGENCE BLUE SHIELD OF ID
ID
05
—
806409200
—
ID
01
—
S5452
BLUE CROSS OF ID
ID
Enumeration date
10/11/2005
Last updated
03/18/2014
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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