| Creelman Family Practice Pllc | |
|
712 S Burlington Blvd Burlington WA 98233-2212 | |
| (360) 757-0027 | |
| (360) 757-3698 |
| Full Name | Creelman Family Practice Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 712 S Burlington Blvd, Burlington, Washington |
| Authorized Official Name and Position | Paul Christopher Creelman (OWNER) |
| Authorized Official Contact | 3607570027 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Creelman Family Practice Pllc 712 S Burlington Blvd Burlington WA 98233-2212 Ph: (360) 757-0027 | Creelman Family Practice Pllc 712 S Burlington Blvd Burlington WA 98233-2212 Ph: (360) 757-0027 |
| NPI Number | 1174699391 |
|---|---|
| Provider Enumeration Date | 11/28/2006 |
| Last Update Date | 03/21/2018 |
| Medicare PECOS PAC ID | 2264334838 |
|---|---|
| Medicare Enrollment ID | O20040123000451 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174699391 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Paul C Creelman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144247875 PECOS PAC ID: 6507768173 Enrollment ID: I20040123000561 |
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