Creazzo, Joseph

Creazzo, Joseph is an individual health care provider with primary practice located at 2263 Sandstone Dr , Morristown TN 37814-2593. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot Surgery, which is considered as his primary health care specialty. Creazzo, Joseph can be contacted via phone (423) 581-0444.

Contact Information

Primary practice address
2263 Sandstone Dr Morristown TN 37814-2593
Phone: (423) 581-0444
Fax: (423) 353-1209
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot Surgery 213ES0131X 000429 Tennessee

Profile Details

NPI number 1518955707
LBN Legal business name Creazzo, Joseph
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 11th, 2005
Last updated Jan 3rd, 2018 - about 7 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 1518955707 NPPES
Tennessee MEDICAID 3352049
Tennessee Other 167149
Tennessee Other P00190667

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