Creasman, Michael Dale

Creasman, Michael Dale is an sole proprietor health care provider with primary practice located at 424 W Mcneese St , Lake Charles LA 70605-5547. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered. Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered is his primary health care specialty. Creasman, Michael Dale can be contacted via phone (337) 478-0511.

Contact Information

Primary practice address
424 W Mcneese St Lake Charles LA 70605-5547
Phone: (337) 478-0511
Fax: (337) 478-5644
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 32576 Louisiana
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X AP01617 Louisiana

Profile Details

NPI number 1952388084
LBN Legal business name Creasman, Michael Dale
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 29th, 2005
Last updated May 5th, 2022 - about 2 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 1952388084 NPPES
Louisiana Other 430018737 RAILROAD MEDICARE PIN
Louisiana MEDICAID 1995720 RAILROAD MEDICARE PIN

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