Creasy, John D.

Creasy, John D. is an individual health care provider with primary practice located at 130 W Ravine Rd , Kingsport TN 37660-3810. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Creasy, John D. can be contacted via phone (423) 968-1144.

Contact Information

Primary practice address
130 W Ravine Rd Kingsport TN 37660-3810
Phone: (423) 968-1144
Fax: (423) 968-3453
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 31555 Tennessee

Profile Details

NPI number 1124029244
LBN Legal business name Creasy, John D.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 10th, 2005
Last updated Jul 8th, 2007 - about 18 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 1124029244 NPPES
Kentucky MEDICAID 64008402
Kentucky Other 3140729
Kentucky Other R06903
Kentucky MEDICAID 3844447
Kentucky MEDICAID 7205066

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