Crouse, Jane Baskett

Crouse, Jane Baskett is an individual health care provider with primary practice located at 6950 Hillsdale Court , Indianapolis IN 46250. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Crouse, Jane Baskett can be contacted via phone (317) 621-7740.

Contact Information

Primary practice address
6950 Hillsdale Court Indianapolis IN 46250
Phone: (317) 621-7740
Fax: (317) 621-7608
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 34000201A Indiana

Profile Details

NPI number 1871567917
LBN Legal business name Crouse, Jane Baskett
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 15th, 2006
Last updated Feb 25th, 2019 - about 5 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 1871567917 NPPES
Indiana Other 000000701008 ANTHEM
Indiana Other 7615206 ANTHEM
Indiana MEDICAID 100270530 ANTHEM

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