Crouch, Terrence Wayne
Crouch, Terrence Wayne is an sole proprietor health care provider with primary practice located at 655 Euclid Ave Suite 401, National City CA 91950-2957. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pulmonary Disease, which is considered as his primary health care specialty. Crouch, Terrence Wayne can be contacted via phone (619) 267-1556.Contact Information
Primary practice address
655 Euclid Ave Suite 401
National City CA 91950-2957
Phone: (619) 267-1556
Fax: (619) 267-2420
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | G47259 | California |
Profile Details
| NPI number | 1750579223 |
|---|---|
| LBN Legal business name | Crouch, Terrence Wayne |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 10th, 2007 |
| Last updated | Aug 8th, 2008 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1750579223 | NPPES |
| California | MEDICAID | 00G472590 |
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