Crouse, Charles William

Crouse, Charles William is an sole proprietor health care provider with primary practice located at 801 Maple St 801 Maple Street, San Mateo CA 94402-2302. He recently has only one registered license in Suppliers / Portable X-ray and/or Other Portable Diagnostic Imaging Supplier, which is considered as his primary health care specialty. Crouse, Charles William can be contacted via phone (650) 347-1880.

Contact Information

Primary practice address
801 Maple St 801 Maple Street San Mateo CA 94402-2302
Phone: (650) 347-1880
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Portable X-ray and/or Other Portable Diagnostic Imaging Supplier 335V00000X RHT3605 California

Profile Details

NPI number 1093846479
LBN Legal business name Crouse, Charles William
Credentials Certified Respiratory Therapist (CRT)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 8th, 2007
Last updated Jan 7th, 2013 - about 11 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 1093846479 NPPES
California MEDICAID ZZZ31682Z

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