Crouch, James Alden
Crouch, James Alden is an individual health care provider with primary practice located at 5610 W Gage St Ste A , Boise ID 83706-1332. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Crouch, James Alden can be contacted via phone (208) 501-8955.Contact Information
Primary practice address
5610 W Gage St Ste A
Boise ID 83706-1332
Phone: (208) 501-8955
Fax: (208) 370-3382
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Nephrology | 207RN0300X | M-14613 | Idaho |
Profile Details
| NPI number | 1720303753 |
|---|---|
| LBN Legal business name | Crouch, James Alden |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 1st, 2010 |
| Last updated | Dec 30th, 2025 - about last year |
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 | 1720303753 | NPPES |
| Idaho | MEDICAID | 1720303753 |
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