Creatura, Patricia Jeanne
Creatura, Patricia Jeanne is an sole proprietor health care provider with primary practice located at 3547 Midway Mall Eyemasters, Elyria OH 44035-2458. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Creatura, Patricia Jeanne can be contacted via phone (440) 324-9779.Contact Information
Primary practice address
3547 Midway Mall Eyemasters
Elyria OH 44035-2458
Phone: (440) 324-9779
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 4337 T909 | Ohio |
| Eye and Vision Services Providers / Optometrist | 152W00000X | 3327 | Massachusetts |
| Eye and Vision Services Providers / Optometrist | 152W00000X | 046-008067 | Illinois |
| Eye and Vision Services Providers / Optometrist | 152W00000X | T004731 | New York |
Profile Details
| NPI number | 1417255100 |
|---|---|
| LBN Legal business name | Creatura, Patricia Jeanne |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 4th, 2011 |
| Last updated | Mar 4th, 2011 - about 14 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1417255100 | NPPES |
| Ohio | MEDICAID | 0936491 |
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