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Contact Information

MARILYN G CROWTHER
401 MAIN STREET
LA JARA, CO81140
 Phone: 719-992-4260
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Addiction (Substance Use Disorder)

101YA0400X
Indicates primary specialty

NPI Profile & details for MARILYN G CROWTHER · (Female)

NPI Number 1205038833
Status Active
Credentials
Entity Individual
Enumeration date 06/05/2007
Last updated 05/04/2017 - About 9 years ago
Sole proprietor 1 No
Identifiers
  • CO License # 6464
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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