Crouch, John D

Crouch, John D is an individual health care provider with primary practice located at 2901 W Kinnickinnic River Pkwy #310, Milwaukee WI 53215-3677. He recently has only one registered license in Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery), which is considered as his primary health care specialty. Crouch, John D can be contacted via phone (414) 649-3990.

Contact Information

Primary practice address
2901 W Kinnickinnic River Pkwy #310 Milwaukee WI 53215-3677
Phone: (414) 649-3990
Fax: (414) 649-3969
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) 208G00000X 29322 Wisconsin

Profile Details

NPI number 1437138427
LBN Legal business name Crouch, John D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 10th, 2006
Last updated Nov 29th, 2021 - about 5 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 1437138427 NPPES
Wisconsin MEDICAID B88253
Wisconsin Other 29322

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