Cromwell, Debra
Cromwell, Debra is an individual health care provider with primary practice located at 822 Woodway St , Bowling Green KY 42101-2771. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Cromwell, Debra can be contacted via phone (270) 901-5000.Contact Information
Primary practice address
822 Woodway St
Bowling Green KY 42101-2771
Phone: (270) 901-5000
Fax: (270) 842-0721
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X |
Profile Details
| NPI number | 1134254915 |
|---|---|
| LBN Legal business name | Cromwell, Debra |
| Credentials | BHS II |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 22nd, 2007 |
| Last updated | Jul 8th, 2007 - about 19 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 | 1134254915 | NPPES |
| Kentucky | MEDICAID | 30604011 |
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