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Individual

ELLEN B CROWE

Active
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Individual

ELLEN B CROWE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
01036964
IN
207Q00000X
Family Medicine Physician
G89024
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000365275
ANTHEM
IN
05
104748978
MI
05
200072690
IN
01
P00608083
RAIL ROAD MEDICARE
IN
Enumeration date
04/26/2006
Last updated
04/25/2012
Update your record

If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.

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