Crouse, Charles Edwin

Crouse, Charles Edwin is an sole proprietor health care provider with primary practice located at 1350 Flemingsburg Rd , Morehead KY 40351-1810. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Sports Medicine, Allopathic & Osteopathic Physicians / Orthopaedic Surgery. Allopathic & Osteopathic Physicians / Orthopaedic Surgery is his primary health care specialty. Crouse, Charles Edwin can be contacted via phone (606) 462-8016.

Contact Information

Primary practice address
1350 Flemingsburg Rd Morehead KY 40351-1810
Phone: (606) 462-8016
Fax: (606) 462-8046
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 207XX0005X 42077 Kentucky
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 42077 Kentucky

Profile Details

NPI number 1518131549
LBN Legal business name Crouse, Charles Edwin
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 22nd, 2008
Last updated Aug 2nd, 2022 - about 2 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1518131549 NPPES
Kentucky Other 42077 STATE MEDICAL LICENSE
Kentucky MEDICAID 7100052230 STATE MEDICAL LICENSE

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