Crouch-Ross, Carol Denise

Crouch-Ross, Carol Denise is an individual health care provider with primary practice located at 19811 Farmington Rd , Livonia MI 48152-1444. She recently has only one registered license in Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry, which is considered as her primary health care specialty. Crouch-Ross, Carol Denise can be contacted via phone (248) 888-0088.

Contact Information

Primary practice address
19811 Farmington Rd Livonia MI 48152-1444
Phone: (248) 888-0088
Fax: (248) 888-0060
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry 2084P0804X 4301064192 Michigan

Profile Details

NPI number 1053466946
LBN Legal business name Crouch-Ross, Carol Denise
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 24th, 2007
Last updated Oct 19th, 2012 - about 14 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 1053466946 NPPES
Michigan MEDICAID 4750036

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