Creedon, Gerald M

Creedon, Gerald M is an sole proprietor health care provider with primary practice located at 200 Brace Rd , Cherry Hill NJ 08034-2623. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Creedon, Gerald M can be contacted via phone (856) 795-5333.

Contact Information

Primary practice address
200 Brace Rd Cherry Hill NJ 08034-2623
Fax: (856) 795-5336
Website:

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 2127 New Jersey

Profile Details

NPI number 1356403158
LBN Legal business name Creedon, Gerald M
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 15th, 2006
Last updated Jul 1st, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1356403158 NPPES
New Jersey Other 2127 NJ LICENCE NUMBER

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