Crouch, James Roy

Crouch, James Roy is an individual health care provider with primary practice located at 1808 W Main St , Russellville AR 72801-2724. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hospitalist, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Hospitalist is his primary health care specialty. Crouch, James Roy can be contacted via phone (479) 964-4178.

Contact Information

Primary practice address
1808 W Main St Russellville AR 72801-2724
Phone: (479) 964-4178
Fax: (479) 964-5910
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X C-7680 Arkansas
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X C-7680 Arkansas

Profile Details

NPI number 1437115508
LBN Legal business name Crouch, James Roy
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 26th, 2006
Last updated Aug 22nd, 2023 - about 3 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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Identifiers

StateTypeNumberIssuer
All States NPI 1437115508 NPPES
Arkansas MEDICAID 121448001

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