Creech, Erika Hazard

Creech, Erika Hazard is an sole proprietor health care provider with primary practice located at 21 Meridian Springs Dr , Jackson TN 38301-5900. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Suppliers / Durable Medical Equipment & Medical Supplies. Allopathic & Osteopathic Physicians / Family Medicine is her primary health care specialty. Creech, Erika Hazard can be contacted via phone (731) 256-0526.

Contact Information

Primary practice address
21 Meridian Springs Dr Jackson TN 38301-5900
Fax: (731) 256-1720
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 24799 Tennessee
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X MD024799 Tennessee

Profile Details

NPI number 1477550283
LBN Legal business name Creech, Erika Hazard
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 7th, 2005
Last updated Nov 26th, 2014 - about 10 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 1477550283 NPPES
Tennessee Other 33809 TLC
Tennessee Other 626001636 TLC
Tennessee Other P00223670 TLC
Tennessee Other 4099359 TLC
Tennessee Other 162154 TLC
Tennessee Other 0725896 TLC
Tennessee Other 626001636 TLC
Tennessee MEDICAID 3078636 TLC
Tennessee Other 626001636 TLC

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