Crouch, Ryan D
Crouch, Ryan D is an individual health care provider with primary practice located at 3563 Prairieview St Ste 200 , Grand Island NE 68803-4442. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Crouch, Ryan D can be contacted via phone (308) 382-2010.Contact Information
Primary practice address
3563 Prairieview St Ste 200
Grand Island NE 68803-4442
Phone: (308) 382-2010
Fax: (308) 382-9549
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 118 | Nebraska |
Profile Details
| NPI number | 1790724201 |
|---|---|
| LBN Legal business name | Crouch, Ryan D |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 6th, 2006 |
| Last updated | Oct 14th, 2021 - about 4 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 | 1790724201 | NPPES |
| Nebraska | MEDICAID | 47071903802 | |
| Nebraska | Other | 110134137 |
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