Dorvault, Christine Creely

Dorvault, Christine Creely is an individual health care provider with primary practice located at 4810 N Davis Hwy , Pensacola FL 32503-2341. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cytopathology, Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology. Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology is her primary health care specialty. Dorvault, Christine Creely can be contacted via phone (850) 474-8988.

Contact Information

Primary practice address
4810 N Davis Hwy Pensacola FL 32503-2341
Phone: (850) 474-8988
Fax: (850) 476-5312
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cytopathology 207ZC0500X ME90033 Florida
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X ME90033 Florida

Profile Details

NPI number 1912974544
LBN Legal business name Dorvault, Christine Creely
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 2nd, 2006
Last updated Apr 13th, 2018 - about 6 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 1912974544 NPPES
Florida Other 46177A MCR
Florida Other 46177 MCR
Florida Other 592-10656 MCR
Florida MEDICAID 018598200 MCR

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