Crouch, Craig D
Crouch, Craig D is an individual health care provider with primary practice located at 600 Ontario St , Storm Lake IA 50588-1845. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Crouch, Craig D can be contacted via phone (712) 732-3233.Contact Information
Primary practice address
600 Ontario St
Storm Lake IA 50588-1845
Phone: (712) 732-3233
Fax: (712) 732-1866
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 1949 | Iowa |
Profile Details
| NPI number | 1336123355 |
|---|---|
| LBN Legal business name | Crouch, Craig D |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 2nd, 2005 |
| Last updated | Jul 9th, 2007 - about 18 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 | 1336123355 | NPPES |
| Iowa | MEDICAID | 0078212 |
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