Krouse, Cora E
Krouse, Cora E is an individual health care provider with primary practice located at 1717 S J St , Tacoma WA 98405-4933. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Krouse, Cora E can be contacted via phone (253) 426-6341.Contact Information
Primary practice address
1717 S J St
Tacoma WA 98405-4933
Phone: (253) 426-6341
Fax: (253) 426-6344
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | PA10003891 | Washington |
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | PA10003891 | Washington |
Profile Details
| NPI number | 1891768560 |
|---|---|
| LBN Legal business name | Krouse, Cora E |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 10th, 2006 |
| Last updated | Dec 7th, 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 | 1891768560 | NPPES |
| Washington | MEDICAID | 8327124 | |
| Washington | Other | 0238873 | |
| Washington | Other | 0273766 | |
| Washington | MEDICAID | 1021533 | |
| Washington | Other | 0302690 | |
| Washington | Other | PA10003891 |
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