Crouse, Edwin D.

Crouse, Edwin D. is an sole proprietor health care provider with primary practice located at 101 Bodin Cir , Travis Afb CA 94535-1809. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Crouse, Edwin D. can be contacted via phone (707) 423-5145.

Contact Information

Primary practice address
101 Bodin Cir Travis Afb CA 94535-1809
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X LCS 5387 California

Profile Details

NPI number 1376531491
LBN Legal business name Crouse, Edwin D.
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 12th, 2005
Last updated Jul 25th, 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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