Crumrine, Julia Marie

Crumrine, Julia Marie is an individual health care provider with primary practice located at 970 Millpond Rd Ste C , Valparaiso IN 46385-6273. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Crumrine, Julia Marie can be contacted via phone (219) 707-8515.

Contact Information

Primary practice address
970 Millpond Rd Ste C Valparaiso IN 46385-6273
Phone: (219) 707-8515
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 20041916A Indiana

Profile Details

NPI number 1932100484
LBN Legal business name Crumrine, Julia Marie
Credentials PHD HSPP
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 9th, 2005
Last updated Mar 16th, 2024 - about 2 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 1932100484 NPPES
Indiana Other 000000305715 ANTHEM BCBS
Indiana MEDICAID 200389660 ANTHEM BCBS

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