Crouch, Evelyn Small
Crouch, Evelyn Small is an individual health care provider with primary practice located at 1650 Response Rd , Sacramento CA 95815-4807. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology, which is considered as her primary health care specialty. Crouch, Evelyn Small can be contacted via phone (916) 614-4170.Contact Information
Primary practice address
1650 Response Rd
Sacramento CA 95815-4807
Phone: (916) 614-4170
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology | 363LX0001X | 322388 | California |
Profile Details
| NPI number | 1255402350 |
|---|---|
| LBN Legal business name | Crouch, Evelyn Small |
| Credentials | NP, CNM, MS |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 11th, 2006 |
| 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 | 1255402350 | NPPES |
| California | Other | 322388 | REGISTERED NURSE LICENCE |
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