Creed, Robert Wesley
Creed, Robert Wesley is an individual health care provider with primary practice located at 2424 Shasta Way , Klamath Falls OR 97601-4354. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Creed, Robert Wesley can be contacted via phone (541) 882-2812.Contact Information
Primary practice address
2424 Shasta Way
Klamath Falls OR 97601-4354
Phone: (541) 882-2812
Fax: (541) 882-5075
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 1756ATI | Oregon |
Profile Details
| NPI number | 1174616163 |
|---|---|
| LBN Legal business name | Creed, Robert Wesley |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 2nd, 2006 |
| Last updated | Sep 2nd, 2008 - about 16 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 | 1174616163 | NPPES |
| Oregon | MEDICAID | 034780 |
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