Crouse, Jim Eldon

Crouse, Jim Eldon is an individual health care provider with primary practice located at 1753 W Ridgeway Ave Ste 103 B, Waterloo IA 50701-4521. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Crouse, Jim Eldon can be contacted via phone (319) 833-5922.

Contact Information

Primary practice address
1753 W Ridgeway Ave Ste 103 B Waterloo IA 50701-4521
Phone: (319) 833-5922
Fax: (319) 833-5723
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 19820 Iowa

Profile Details

NPI number 1821042516
LBN Legal business name Crouse, Jim Eldon
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 19th, 2006
Last updated Jul 29th, 2015 - about 9 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 1821042516 NPPES
Iowa Other 19215 WELLMARK INS PLAN
Iowa MEDICAID 2149591 WELLMARK INS PLAN
Iowa Other 42141730705 WELLMARK INS PLAN

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