Crothers, Marie K

Crothers, Marie K is an individual health care provider with primary practice located at 2005 Highland Ave , Eau Claire WI 54701-4455. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Crothers, Marie K can be contacted via phone (715) 832-5454.

Contact Information

Primary practice address
2005 Highland Ave Eau Claire WI 54701-4455
Phone: (715) 832-5454
Fax: (715) 832-2991
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 2393057 Wisconsin

Profile Details

NPI number 1699728329
LBN Legal business name Crothers, Marie K
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date May 17th, 2006
Last updated May 6th, 2008 - about 16 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 1699728329 NPPES
Minnesota Other 6150399 MEDICAL UBH UHC
Minnesota Other 68434 MEDICAL UBH UHC
Minnesota Other 99FO6CR MEDICAL UBH UHC
Minnesota MEDICAID 43573200 MEDICAL UBH UHC
Minnesota Other 637871026353 MEDICAL UBH UHC
Minnesota Other HP39199 MEDICAL UBH UHC

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