Cremeens, Alicia K

Cremeens, Alicia K is an individual health care provider with primary practice located at 2601 W Main St , Carbondale IL 62901-1031. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Cremeens, Alicia K can be contacted via phone (618) 549-5361.

Contact Information

Primary practice address
2601 W Main St Carbondale IL 62901-1031
Phone: (618) 549-5361
Fax: (618) 351-4878
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 085-003579 Illinois

Profile Details

NPI number 1225364219
LBN Legal business name Cremeens, Alicia K
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 26th, 2009
Last updated Oct 27th, 2020 - about 4 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 1225364219 NPPES
Illinois Other 085.003579 ILLINOIS PHYSICIAN LICENSE

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