Crouch, Pamela Lynne
Crouch, Pamela Lynne is an individual health care provider with primary practice located at 3555 E Fry Blvd , Sierra Vista AZ 85635-2972. She recently has only one registered license in Behavioral Health & Social Service Providers / School, which is considered as her primary health care specialty. Crouch, Pamela Lynne can be contacted via phone (520) 515-2790.Contact Information
Primary practice address
3555 E Fry Blvd
Sierra Vista AZ 85635-2972
Phone: (520) 515-2790
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / School | 103TS0200X |
Profile Details
| NPI number | 1902959547 |
|---|---|
| LBN Legal business name | Crouch, Pamela Lynne |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 18th, 2007 |
| Last updated | Jul 9th, 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 | 1902959547 | NPPES |
| Arizona | MEDICAID | 598542 |
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