Crosby, Ethel L

Crosby, Ethel L is an individual health care provider with primary practice located at 5541 1St Ave N , Saint Petersburg FL 33710-8005. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist, which is considered as her primary health care specialty. Crosby, Ethel L can be contacted via phone (727) 767-4403.

Contact Information

Primary practice address
5541 1St Ave N Saint Petersburg FL 33710-8005
Phone: (727) 767-4403
Fax: (727) 767-4715
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist 222Q00000X Florida

Profile Details

NPI number 1679767545
LBN Legal business name Crosby, Ethel L
Credentials EARLY INTERVENTION
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 4th, 2007
Last updated May 15th, 2023 - about 2 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 1679767545 NPPES
Florida MEDICAID 812163000

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