Crochrell, Dewanda

Crochrell, Dewanda is an sole proprietor health care provider with primary practice located at 2116 Edison Ave , Granite City IL 62040-4717. She recently has only one registered license in Other Service Providers / Community Health Worker, which is considered as her primary health care specialty. Crochrell, Dewanda can be contacted via phone (618) 334-1181.

Contact Information

Primary practice address
2116 Edison Ave Granite City IL 62040-4717
Phone: (618) 334-1181
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Community Health Worker 172V00000X

Profile Details

NPI number 1790253466
LBN Legal business name Crochrell, Dewanda
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 11th, 2018
Last updated Nov 11th, 2018 - about 7 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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