Crownover, Carrie
Crownover, Carrie is an sole proprietor health care provider with primary practice located at 5500 E Kellogg Dr , Wichita KS 67218-1607. She recently has only one registered license in Behavioral Health & Social Service Providers / Counseling, which is considered as her primary health care specialty. Crownover, Carrie can be contacted via phone (316) 651-3621.Contact Information
Primary practice address
5500 E Kellogg Dr
Wichita KS 67218-1607
Phone: (316) 651-3621
Fax: (316) 634-3091
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Counseling | 103TC1900X | 1759 | Kansas |
Profile Details
| NPI number | 1780631747 |
|---|---|
| LBN Legal business name | Crownover, Carrie |
| Credentials | LP |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 27th, 2006 |
| Last updated | Nov 6th, 2008 - about 17 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 | 1780631747 | NPPES |
| Kansas | MEDICAID | 10097960A | |
| Kansas | Other | 201736 |
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