Croucher, Deborah A
Croucher, Deborah A is an individual health care provider with primary practice located at 1401 Harrodsburg Rd Ste B485, Lexington KY 40504-3797. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as her primary health care specialty. Croucher, Deborah A can be contacted via phone (859) 277-6143.Contact Information
Primary practice address
1401 Harrodsburg Rd Ste B485
Lexington KY 40504-3797
Phone: (859) 277-6143
Fax: (859) 277-8659
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Surgical | 363AS0400X | PA028 | Kentucky |
Profile Details
| NPI number | 1699770503 |
|---|---|
| LBN Legal business name | Croucher, Deborah A |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 16th, 2005 |
| Last updated | Dec 3rd, 2020 - 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 | 1699770503 | NPPES |
| Kentucky | MEDICAID | 95003281 |
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