Crouse, Linda J
Crouse, Linda J is an individual health care provider with primary practice located at 2521 Glenn Hendren Dr Suite 306, Liberty MO 64068-3388. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Crouse, Linda J can be contacted via phone (816) 407-5430.Contact Information
Primary practice address
2521 Glenn Hendren Dr Suite 306
Liberty MO 64068-3388
Phone: (816) 407-5430
Fax: (816) 407-5435
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Other Service Providers / Specialist | 174400000X | 0420880 | Kansas |
Other Service Providers / Specialist | 174400000X | R6E86 | Missouri |
Profile Details
NPI number | 1205881604 |
---|---|
LBN Legal business name | Crouse, Linda J |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | May 23rd, 2006 |
Last updated | Nov 11th, 2009 - about 16 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1205881604 | NPPES |
Missouri | MEDICAID | 202205506 | |
Missouri | Other | 4001400 | |
Missouri | MEDICAID | 100202600D | |
Missouri | Other | 11730067 | |
Missouri | Other | 400850 |
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