Provider Demographics
NPI:1417204306
Name:CROSSES ENTERPRISES LLC
Entity Type:Organization
Organization Name:CROSSES ENTERPRISES LLC
Other - Org Name:PHYSICAL ASSESSMENT ASSOCIATES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:DR
Authorized Official - First Name:RAFAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:CRUZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:812-913-4416
Mailing Address - Street 1:405 E COURT AVE
Mailing Address - Street 2:
Mailing Address - City:JEFFERSONVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:47130-3474
Mailing Address - Country:US
Mailing Address - Phone:812-913-4416
Mailing Address - Fax:812-213-8409
Practice Address - Street 1:405 E COURT AVE
Practice Address - Street 2:
Practice Address - City:JEFFERSONVILLE
Practice Address - State:IN
Practice Address - Zip Code:47130-3474
Practice Address - Country:US
Practice Address - Phone:812-913-4416
Practice Address - Fax:812-213-8409
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-08-09
Last Update Date:2020-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Multi-Specialty
No174400000XOther Service ProvidersSpecialistGroup - Multi-Specialty