Crouse, Michelle Lynn
Crouse, Michelle Lynn is an individual health care provider with primary practice located at 255 Enterprise Blvd Ste 101 , Greenville SC 29615-3530. She recently has 3 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Geriatric Medicine. Allopathic & Osteopathic Physicians / Geriatric Medicine is her primary health care specialty. Crouse, Michelle Lynn can be contacted via phone (864) 454-8120.Contact Information
Primary practice address
255 Enterprise Blvd Ste 101
Greenville SC 29615-3530
Phone: (864) 454-8120
Fax: (864) 454-8125
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 82355 | South Carolina |
| Allopathic & Osteopathic Physicians / Geriatric Medicine | 207RG0300X | 82355 | South Carolina |
Profile Details
| NPI number | 1942664610 |
|---|---|
| LBN Legal business name | Crouse, Michelle Lynn |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 8th, 2016 |
| Last updated | Aug 30th, 2022 - about 4 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 | 1942664610 | NPPES |
| South Carolina | MEDICAID | 823559 |
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