Creek, Jonathan Duane
Creek, Jonathan Duane is an sole proprietor health care provider with primary practice located at 120 S Grand Ave Ste 2 , Waxahachie TX 75165-2273. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Primary Care, which is considered as his primary health care specialty. Creek, Jonathan Duane can be contacted via phone (972) 938-0100.Contact Information
Primary practice address
120 S Grand Ave Ste 2
Waxahachie TX 75165-2273
Phone: (972) 938-0100
Fax: (972) 937-9073
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Primary Care | 363LP2300X | AP140762 | Texas |
Profile Details
| NPI number | 1932667813 |
|---|---|
| LBN Legal business name | Creek, Jonathan Duane |
| Credentials | FNP-C |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 9th, 2019 |
| Last updated | Feb 2nd, 2020 - about 4 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 | 1932667813 | NPPES |
| Texas | Other | AP140762 | APRN |
| Texas | Other | 29397 | APRN |
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