EDWIN ERNEST CROUCHER III

UPSTATE CHIROPRACTIC, PC

Dr EDWIN ERNEST CROUCHER III is a male medical professional, specializing in Chiropractic. He graduated in 2017 from Life Chiropractic College.

Contact

UPSTATE CHIROPRACTIC, PC

136 E GENESEE ST
BALDWINSVILLE
NY
130272720

Tel: 3156352333

EDWIN ERNEST CROUCHER III Information

Npi 1194250787
Pac Id 0143507871
Professional Enrollment Id I20170508000896
Last Name CROUCHER
First Name EDWIN
Middle Name ERNEST
Suffix III
Gender M
Credential
Medical School Name LIFE CHIROPRACTIC COLLEGE
Graduation Year 2017
Primary Specialty CHIROPRACTIC
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name UPSTATE CHIROPRACTIC, PC
Group Practice Pac Id 3375543952
Number Of Group Practice Members 2
Line 1 Street Address 136 E GENESEE ST
Line 2 Street Address
Marker Of Address Line 2 Suppression
City BALDWINSVILLE
State NY
Zip Code 130272720
Phone Number 3156352333
Hospital Affiliation Ccn 1
Hospital Affiliation Lbn 1
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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