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
Fax: (714) 435-1745
Website:

Health care specialties

SpecialtyCodeLicense #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 17 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 1043304520 NPPES
California Other OT0062730 BLUE SHIELD
California Other A007 BLUE SHIELD

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