Mccreadie, Emmajean
Mccreadie, Emmajean is an individual health care provider with primary practice located at 2005 Wilshire Blvd Los Angeles, Los Angeles CA 90057-3503. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology, which is considered as her primary health care specialty. Mccreadie, Emmajean can be contacted via phone (213) 413-2700.Contact Information
Primary practice address
2005 Wilshire Blvd Los Angeles
Los Angeles CA 90057-3503
Phone: (213) 413-2700
Fax: (213) 413-6722
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology | 363LX0001X | RN209322 | California |
Profile Details
| NPI number | 1811034507 |
|---|---|
| LBN Legal business name | Mccreadie, Emmajean |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 31st, 2007 |
| Last updated | Jul 9th, 2007 - about 17 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 | 1811034507 | NPPES |
| California | Other | NP2136 | NP LICENSE |
| California | MEDICAID | RN209322 | NP LICENSE |
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