Crouch, Karen
Crouch, Karen is an individual health care provider with primary practice located at 1700 Adams Avenue Ste 103, Costa Mesa CA 92626. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Hand, which is considered as her primary health care specialty. Crouch, Karen can be contacted via phone (714) 556-2288.Contact Information
Primary practice address
1700 Adams Avenue Ste 103
Costa Mesa CA 92626
Phone: (714) 556-2288
Fax: (714) 435-1745
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Hand | 225XH1200X | OT6273 | California |
Profile Details
| NPI number | 1043304520 |
|---|---|
| LBN Legal business name | Crouch, Karen |
| Credentials | CHT |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 2nd, 2006 |
| Last updated | Jul 8th, 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 | 1043304520 | NPPES |
| California | Other | OT0062730 | BLUE SHIELD |
| California | Other | A007 | BLUE SHIELD |
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