Creekmore, Harry Stone

Creekmore, Harry Stone is an sole proprietor health care provider with primary practice located at 2201 Lock B Rd N , Clarksville TN 37043-8240. He recently has only one registered license in Allopathic & Osteopathic Physicians / Plastic Surgery, which is considered as his primary health care specialty. Creekmore, Harry Stone can be contacted via phone (931) 362-2840.

Contact Information

Primary practice address
2201 Lock B Rd N Clarksville TN 37043-8240
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Plastic Surgery 208200000X MD0000019119 Tennessee

Profile Details

NPI number 1043259237
LBN Legal business name Creekmore, Harry Stone
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 5th, 2006
Last updated Jun 3rd, 2013 - about 11 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 1043259237 NPPES
Kentucky Other 000000053405 ANTHEM BCBS OF KY
Kentucky MEDICAID 3039144 ANTHEM BCBS OF KY
Kentucky Other 1342006 ANTHEM BCBS OF KY
Kentucky Other 0086392 ANTHEM BCBS OF KY
Kentucky Other 5354372 ANTHEM BCBS OF KY

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