Crouch, Adam G
Crouch, Adam G is an sole proprietor health care provider with primary practice located at 8390 Tod Ave , Youngstown OH 44512-6366. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Crouch, Adam G can be contacted via phone (330) 629-8880.Contact Information
Primary practice address
8390 Tod Ave
Youngstown OH 44512-6366
Phone: (330) 629-8880
Fax: (330) 629-9181
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 34-00-6305C | Ohio |
Profile Details
| NPI number | 1194833343 |
|---|---|
| LBN Legal business name | Crouch, Adam G |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 28th, 2006 |
| Last updated | Jul 9th, 2007 - about 17 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1194833343 | NPPES |
| Ohio | MEDICAID | 0179131 |
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