Finch Crouch, Jessica Sue
Finch Crouch, Jessica Sue is an individual health care provider with primary practice located at 519 State St , New Albany IN 47150-3620. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Finch Crouch, Jessica Sue can be contacted via phone (812) 948-0616.Contact Information
Primary practice address
519 State St
New Albany IN 47150-3620
Phone: (812) 948-0616
Fax: (812) 949-3447
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Eye and Vision Services Providers / Optometrist | 152W00000X | 1979DT | Kentucky |
Eye and Vision Services Providers / Optometrist | 152W00000X | 18003927A | Indiana |
Profile Details
NPI number | 1912375098 |
---|---|
LBN Legal business name | Finch Crouch, Jessica Sue |
Credentials | Doctor of Optometry (OD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Sep 8th, 2015 |
Last updated | Sep 29th, 2020 - about 4 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 | 1912375098 | NPPES |
Indiana | MEDICAID | 201321190 | |
Indiana | MEDICAID | 7100373260 |
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