Crowley, Brian John

Crowley, Brian John is an individual health care provider with primary practice located at 525 Alexandria Pike , Southgate KY 41071-3290. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as his primary health care specialty. Crowley, Brian John can be contacted via phone (859) 212-0175.

Contact Information

Primary practice address
525 Alexandria Pike Southgate KY 41071-3290
Phone: (859) 212-0175
Fax: (859) 441-3698
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 3004900 Kentucky
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X COA.09136-NP Ohio

Profile Details

NPI number 1982809828
LBN Legal business name Crowley, Brian John
Credentials RN, APRN
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 20th, 2007
Last updated Jun 28th, 2019 - about 7 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 1982809828 NPPES
Kentucky MEDICAID 7100098400

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