Creamer, Holly Marie

Creamer, Holly Marie is an sole proprietor health care provider with primary practice located at 971 E. Wichita Ave. , Russell KS 67665. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Behavioral Analyst, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist, Respite Care Facility / Respite Care, Mental Illness, Child. Respite Care Facility / Respite Care, Mental Illness, Child is her primary health care specialty. Creamer, Holly Marie can be contacted via phone (785) 657-7464.

Contact Information

Primary practice address
971 E. Wichita Ave. Russell KS 67665
Fax: (785) 445-4042
Website:

Profile Details

NPI number 1457820086
LBN Legal business name Creamer, Holly Marie
Credentials BCBA
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 13th, 2018
Last updated May 28th, 2019 - about 5 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 1457820086 NPPES
Kansas MEDICAID 201234000A

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