Crouch, Judy
Crouch, Judy is an individual health care provider with primary practice located at 1212 E Sherman Blvd , Muskegon MI 49444-1879. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Crouch, Judy can be contacted via phone (231) 672-3648.Contact Information
Primary practice address
1212 E Sherman Blvd
Muskegon MI 49444-1879
Phone: (231) 672-3648
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 4704149014 | Michigan |
Profile Details
| NPI number | 1144234394 |
|---|---|
| LBN Legal business name | Crouch, Judy |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 27th, 2006 |
| Last updated | Feb 27th, 2008 - about 18 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 | 1144234394 | NPPES |
| Michigan | MEDICAID | 4623507 |
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