Crouch, John Raymond
Crouch, John Raymond is an individual health care provider with primary practice located at 1441 E 75Th Pl , Tulsa OK 74136-7345. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Crouch, John Raymond can be contacted via phone (918) 710-4200.Contact Information
Primary practice address
1441 E 75Th Pl
Tulsa OK 74136-7345
Phone: (918) 710-4200
Fax: (918) 293-3155
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 11771 | Oklahoma |
Profile Details
| NPI number | 1710957139 |
|---|---|
| LBN Legal business name | Crouch, John Raymond |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 26th, 2006 |
| Last updated | Mar 31st, 2014 - about 10 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 | 1710957139 | NPPES |
| Oklahoma | MEDICAID | 100054170B |
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