Croushore, Elmer Elsworth

Croushore, Elmer Elsworth is an individual health care provider with primary practice located at 4645 Nw 8Th Ave , Gainesville FL 32605-4524. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Vascular Surgery. Allopathic & Osteopathic Physicians / Vascular Surgery is his primary health care specialty. Croushore, Elmer Elsworth can be contacted via phone (352) 375-1212.

Contact Information

Primary practice address
4645 Nw 8Th Ave Gainesville FL 32605-4524
Phone: (352) 375-1212
Fax: (352) 371-4650
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X ME0058091 Florida
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X ME58091 Florida

Profile Details

NPI number 1740243518
LBN Legal business name Croushore, Elmer Elsworth
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 11th, 2006
Last updated Sep 9th, 2016 - 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 1740243518 NPPES
Florida MEDICAID 063704100
Florida Other 10824

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