Creek, David J

Creek, David J is an sole proprietor health care provider with primary practice located at 6653 Weaver Rd , Rockford IL 61114-8025. He recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as his primary health care specialty. Creek, David J can be contacted via phone (815) 200-9636.

Contact Information

Primary practice address
6653 Weaver Rd Rockford IL 61114-8025
Phone: (815) 200-9636
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 166001308 Illinois
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 3239 Minnesota
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 166.001308 Illinois

Profile Details

NPI number 1578813119
LBN Legal business name Creek, David J
Credentials LMFT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 11th, 2012
Last updated Jun 1st, 2020 - about 6 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 1578813119 NPPES
Minnesota MEDICAID 360450100M

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