Cruttenden, Erin Ashley

Cruttenden, Erin Ashley is an sole proprietor health care provider with primary practice located at 545 Old Norcross Road Suite 100, Lawrenceville GA 30046-3099. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics, which is considered as her primary health care specialty. Cruttenden, Erin Ashley can be contacted via phone (678) 377-2833.

Contact Information

Primary practice address
545 Old Norcross Road Suite 100 Lawrenceville GA 30046-3099
Phone: (678) 377-2833
Fax: (678) 377-2882
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics 2251P0200X PT009063 Georgia

Profile Details

NPI number 1982809174
LBN Legal business name Cruttenden, Erin Ashley
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 18th, 2007
Last updated Feb 15th, 2016 - about 10 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 1982809174 NPPES
Georgia MEDICAID 574378030A

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