Croucher, Eric Edward
Croucher, Eric Edward is an sole proprietor health care provider with primary practice located at 138 E. Genesee St. , Baldwinsville NY 13027-2720. He recently has only one registered license in Chiropractic Providers / Neurology, which is considered as his primary health care specialty. Croucher, Eric Edward can be contacted via phone (315) 635-2333.Contact Information
Primary practice address
138 E. Genesee St.
Baldwinsville NY 13027-2720
Phone: (315) 635-2333
Fax: (315) 635-3945
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Neurology | 111NN0400X | X006586-1 | New York |
Profile Details
| NPI number | 1962500017 |
|---|---|
| LBN Legal business name | Croucher, Eric Edward |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 20th, 2006 |
| Last updated | Mar 29th, 2018 - about 6 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 | 1962500017 | NPPES |
| Other | AA1495 | MEDICARE PTAN |
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