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
Fax: (816) 407-5435
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1205881604 NPPES
Missouri MEDICAID 202205506
Missouri Other 4001400
Missouri MEDICAID 100202600D
Missouri Other 11730067
Missouri Other 400850

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