Creech, Marie Shockley

Creech, Marie Shockley is an individual health care provider with primary practice located at 1906 Belleview Ave , Roanoke VA 24014. She recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Surgical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Creech, Marie Shockley can be contacted via phone (540) 981-7000.

Contact Information

Primary practice address
1906 Belleview Ave Roanoke VA 24014
Phone: (540) 981-7000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 0110-002202 Virginia
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 0110-002202 Virginia
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 0110002202 Virginia

Profile Details

NPI number 1235192048
LBN Legal business name Creech, Marie Shockley
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 11th, 2006
Last updated Mar 21st, 2023 - about last year

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 1235192048 NPPES
Virginia MEDICAID 010219825
Virginia MEDICAID 010219477

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