Provider Demographics
NPI:1386357200
Name:CROSS, TROY ALAN II
Entity type:Individual
Prefix:MR
First Name:TROY
Middle Name:ALAN
Last Name:CROSS
Suffix:II
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3876 SEMINOLE ST NW
Mailing Address - Street 2:
Mailing Address - City:UNIONTOWN
Mailing Address - State:OH
Mailing Address - Zip Code:44685-9175
Mailing Address - Country:US
Mailing Address - Phone:330-319-4888
Mailing Address - Fax:
Practice Address - Street 1:3874 SEMINOLE ST NW
Practice Address - Street 2:
Practice Address - City:UNIONTOWN
Practice Address - State:OH
Practice Address - Zip Code:44685-9175
Practice Address - Country:US
Practice Address - Phone:330-459-7893
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-01-05
Last Update Date:2023-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide