Crouse, Charles William
Crouse, Charles William is an sole proprietor health care provider with primary practice located at 801 Maple St 801 Maple Street, San Mateo CA 94402-2302. He recently has only one registered license in Suppliers / Portable X-ray and/or Other Portable Diagnostic Imaging Supplier, which is considered as his primary health care specialty. Crouse, Charles William can be contacted via phone (650) 347-1880.Contact Information
Primary practice address
801 Maple St 801 Maple Street
San Mateo CA 94402-2302
Phone: (650) 347-1880
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 335V00000X | RHT3605 | California |
Profile Details
| NPI number | 1093846479 |
|---|---|
| LBN Legal business name | Crouse, Charles William |
| Credentials | Certified Respiratory Therapist (CRT) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 8th, 2007 |
| Last updated | Jan 7th, 2013 - about 12 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 | 1093846479 | NPPES |
| California | MEDICAID | ZZZ31682Z |
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