Creely, Joseph J

Creely, Joseph J is an individual health care provider with primary practice located at 4950 Norton Healthcare Blvd Suite 209, Louisville KY 40241-2831. He recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology, which is considered as his primary health care specialty. Creely, Joseph J can be contacted via phone (502) 425-5556.

Contact Information

Primary practice address
4950 Norton Healthcare Blvd Suite 209 Louisville KY 40241-2831
Phone: (502) 425-5556
Fax: (502) 425-5655
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X 32074 Kentucky
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X 088562 Louisiana

Profile Details

NPI number 1912903469
LBN Legal business name Creely, Joseph J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 21st, 2005
Last updated Oct 9th, 2012 - about 13 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 1912903469 NPPES
Kentucky MEDICAID 64320740
Kentucky Other 20-4612802
Kentucky Other 000000571067

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