Crutchlow, Eileen
Crutchlow, Eileen is an individual health care provider with primary practice located at 471 Barnum Ave , Bridgeport CT 06608-2409. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Crutchlow, Eileen can be contacted via phone (203) 333-6864.Contact Information
Primary practice address
471 Barnum Ave
Bridgeport CT 06608-2409
Phone: (203) 333-6864
Fax: (203) 332-0376
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 001280 | Connecticut |
Profile Details
| NPI number | 1417079286 |
|---|---|
| LBN Legal business name | Crutchlow, Eileen |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 4th, 2007 |
| Last updated | Jul 8th, 2007 - about 18 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 | 1417079286 | NPPES |
| Connecticut | Other | 001280 | STATE LICENSE |
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