Crowell, Judith Ellen

Crowell, Judith Ellen is an sole proprietor health care provider with primary practice located at 7800 Sw 87Th Ave Ste C300, Miami FL 33173-3570. She recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as her primary health care specialty. Crowell, Judith Ellen can be contacted via phone (305) 274-0221.

Contact Information

Primary practice address
7800 Sw 87Th Ave Ste C300 Miami FL 33173-3570
Fax: (305) 274-7275
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X ME 59519 Florida

Profile Details

NPI number 1659376218
LBN Legal business name Crowell, Judith Ellen
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 20th, 2005
Last updated Jan 29th, 2014 - about 11 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 1659376218 NPPES
Florida MEDICAID 374646100

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