Tate, Creston M

Tate, Creston M is an individual health care provider with primary practice located at 2149 S Queen St , York PA 17403-4845. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Tate, Creston M can be contacted via phone (717) 356-4460.

Contact Information

Primary practice address
2149 S Queen St York PA 17403-4845
Phone: (717) 356-4460
Fax: (717) 260-3326
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 009556L Pennsylvania
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X OS009556L Pennsylvania

Profile Details

NPI number 1043280704
LBN Legal business name Tate, Creston M
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 25th, 2006
Last updated Feb 6th, 2023 - about last year

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 1043280704 NPPES
Pennsylvania MEDICAID 0016452150004
Pennsylvania MEDICAID 0016452150010

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