Creevy, William R
Creevy, William R is an individual health care provider with primary practice located at 725 Albany St, Suite 4B Shapiro Bldg, Boston MA 02118-2526. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Creevy, William R can be contacted via phone (617) 638-5633.Contact Information
Primary practice address
725 Albany St, Suite 4B Shapiro Bldg
Boston MA 02118-2526
Phone: (617) 638-5633
Fax: (617) 414-5226
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | 80081 | Massachusetts |
Profile Details
| NPI number | 1629036421 |
|---|---|
| LBN Legal business name | Creevy, William R |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 2nd, 2006 |
| Last updated | Apr 2nd, 2024 - about 2 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 | 1629036421 | NPPES |
| Massachusetts | MEDICAID | 110054880B | |
| Massachusetts | MEDICAID | 3081560 |
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