Creel, Russell W.
Creel, Russell W. is an individual health care provider with primary practice located at 400 Westwood Dr , Wausau WI 54401-7801. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is his primary health care specialty. Creel, Russell W. can be contacted via phone (414) 325-7246.Contact Information
Primary practice address
400 Westwood Dr
Wausau WI 54401-7801
Phone: (414) 325-7246
Fax: (414) 325-3770
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 71002332A | Indiana |
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 4278 | Wisconsin |
Profile Details
NPI number | 1134265739 |
---|---|
LBN Legal business name | Creel, Russell W. |
Credentials | Nurse Practitioner (NP) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jan 30th, 2007 |
Last updated | Mar 26th, 2018 - 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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