Creelman, Wayne Lewis

Creelman, Wayne Lewis is an individual health care provider with primary practice located at 1600 Sw Archer Rd , Gainesville FL 32610-3003. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Creelman, Wayne Lewis can be contacted via phone (352) 265-7981.

Contact Information

Primary practice address
1600 Sw Archer Rd Gainesville FL 32610-3003
Phone: (352) 265-7981
Fax: (352) 265-7983
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 4301073771 Michigan
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X ME93408 Florida

Profile Details

NPI number 1235188038
LBN Legal business name Creelman, Wayne Lewis
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 9th, 2006
Last updated Apr 28th, 2008 - about 17 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 1235188038 NPPES
Michigan MEDICAID 4109799
Michigan MEDICAID 276092400
Michigan Other 260D176250

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