Crawford, Ellen L

Crawford, Ellen L is an individual health care provider with primary practice located at 800 Rose St H-149, Lexington KY 40536-1217. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Crawford, Ellen L can be contacted via phone (859) 323-5000.

Contact Information

Primary practice address
800 Rose St H-149 Lexington KY 40536-1217
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 130454 Kentucky

Profile Details

NPI number 1538217906
LBN Legal business name Crawford, Ellen L
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 8th, 2007
Last updated Sep 13th, 2016 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1538217906 NPPES
Kentucky MEDICAID 30615058

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