| Doctor Name: | DR. REBECCA ELIZABETH CROCKETT |
| NPI Number: | 1376702241 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | DO |
| License Number: | 58.001481 |
| Business Practice Address: | 1040 Delaware Ave Marion, OH - 433026416 |
| Business Phone Number: | 7403838080 |
| Business Fax Number: | 7403838084 |
| Mailing Address: | L-3549, COLUMBUS |
| State: | OH |
| Postal Code: | 432600001 |
| Phone Number: | 7403837927 |
| Fax Number: | 7403837942 |
| NPI Enumeration Date: | 06/05/2008 |
| NPI Last Update Date: | 10/07/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 207V00000X |
| License Number: | 58.001481 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | OH |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Obstetrics & Gynecology |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |