Crouch, Timothy E

Crouch, Timothy E is an individual health care provider with primary practice located at 800 E Cheves St Ste 420, Florence SC 29506-2650. He recently has only one registered license in Allopathic & Osteopathic Physicians / Allergy & Immunology, which is considered as his primary health care specialty. Crouch, Timothy E can be contacted via phone (843) 679-9335.

Contact Information

Primary practice address
800 E Cheves St Ste 420 Florence SC 29506-2650
Fax: (843) 669-4214
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Allergy & Immunology 207K00000X 21204 South Carolina

Profile Details

NPI number 1699832022
LBN Legal business name Crouch, Timothy E
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 3rd, 2007
Last updated Dec 5th, 2007 - about 19 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 1699832022 NPPES
South Carolina MEDICAID 212040

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