Crouch, Earl Russell
Crouch, Earl Russell is an individual health care provider with primary practice located at 4665 South Blvd , Virginia Beach VA 23452-1055. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Crouch, Earl Russell can be contacted via phone (757) 461-0050.Contact Information
Primary practice address
4665 South Blvd
Virginia Beach VA 23452-1055
Phone: (757) 461-0050
Fax: (757) 461-4538
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | 0101236715 | Virginia |
Profile Details
| NPI number | 1376632075 |
|---|---|
| LBN Legal business name | Crouch, Earl Russell |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 12th, 2006 |
| Last updated | Oct 17th, 2018 - about 8 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 | 1376632075 | NPPES |
| Virginia | MEDICAID | 010079543 |
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