Creighton, Carol J

Creighton, Carol J is an sole proprietor health care provider with primary practice located at 1837 Hertel Ave , Buffalo NY 14216-3006. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Creighton, Carol J can be contacted via phone (716) 834-0990.

Contact Information

Primary practice address
1837 Hertel Ave Buffalo NY 14216-3006
Fax: (716) 834-5116
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X PR011345-1 New York

Profile Details

NPI number 1710971361
LBN Legal business name Creighton, Carol J
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 8th, 2005
Last updated Aug 9th, 2012 - about 12 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 1710971361 NPPES
New York Other 000500044001 HEALTH NOW

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