Crouch, Chong Ae

Crouch, Chong Ae is an individual health care provider with primary practice located at 115 S Parkside Dr , Colorado Springs CO 80910-3130. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Crouch, Chong Ae can be contacted via phone (719) 572-6100.

Contact Information

Primary practice address
115 S Parkside Dr Colorado Springs CO 80910-3130
Phone: (719) 572-6100
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X RN. 1631584 Colorado
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X APN.0992942-NP Colorado

Profile Details

NPI number 1104364744
LBN Legal business name Crouch, Chong Ae
Credentials NP/RXN/RN
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 2nd, 2017
Last updated Apr 10th, 2017 - about 9 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.

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