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:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1912903469 | NPPES |
Kentucky | MEDICAID | 64320740 | |
Kentucky | Other | 20-4612802 | |
Kentucky | Other | 000000571067 |
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