Crouch, Donald Scott

Crouch, Donald Scott is an individual health care provider with primary practice located at 1414 Cross St Ste 330 , Shiloh IL 62269. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Crouch, Donald Scott can be contacted via phone (618) 277-7400.

Contact Information

Primary practice address
1414 Cross St Ste 330 Shiloh IL 62269
Phone: (618) 277-7400
Fax: (618) 277-7422
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 036106785 Illinois

Profile Details

NPI number 1619925880
LBN Legal business name Crouch, Donald Scott
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 4th, 2006
Last updated Oct 24th, 2019 - about 5 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 1619925880 NPPES
Illinois MEDICAID 036106785

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