Crowe, Ellen B

Crowe, Ellen B is an individual health care provider with primary practice located at 115 Los Padres Dr , Thousand Oaks CA 91361-1317. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medical Services, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Emergency Medical Services is her primary health care specialty. Crowe, Ellen B can be contacted via phone (805) 380-3313.

Contact Information

Primary practice address
115 Los Padres Dr Thousand Oaks CA 91361-1317
Fax: (805) 449-0091
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medical Services 207PE0004X 01036964 Indiana
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X G89024 California

Profile Details

NPI number 1245296250
LBN Legal business name Crowe, Ellen B
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 26th, 2006
Last updated Apr 25th, 2012 - about 12 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 1245296250 NPPES
Indiana Other P00608083 RAIL ROAD MEDICARE
Indiana MEDICAID 104748978 RAIL ROAD MEDICARE
Indiana Other 000000365275 RAIL ROAD MEDICARE
Indiana MEDICAID 200072690 RAIL ROAD MEDICARE

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