Crouch, Mary
Crouch, Mary is an individual health care provider with primary practice located at 118 S. Main , Las Cruces NM 88001. She recently has only one registered license in Nursing Service Providers / Registered Nurse, which is considered as her primary health care specialty. Crouch, Mary can be contacted via phone (575) 527-7984.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / Registered Nurse | 163W00000X | R23247 | New Mexico |
Profile Details
| NPI number | 1417106402 |
|---|---|
| LBN Legal business name | Crouch, Mary |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 15th, 2008 |
| Last updated | Sep 15th, 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 | 1417106402 | NPPES |
| New Mexico | Other | 850204142 | MEDICARE |
| New Mexico | MEDICAID | 47043 | MEDICARE |
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