Creagmile, Jack Stephen

Creagmile, Jack Stephen is an sole proprietor health care provider with primary practice located at 101 The City Dr S , Orange CA 92868-3201. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Ophthalmology, Allopathic & Osteopathic Physicians / Glaucoma Specialist. Allopathic & Osteopathic Physicians / Glaucoma Specialist is his primary health care specialty. Creagmile, Jack Stephen can be contacted via phone (949) 824-2020.

Contact Information

Primary practice address
101 The City Dr S Orange CA 92868-3201
Phone: (949) 824-2020
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X A193595 California
Allopathic & Osteopathic Physicians / Glaucoma Specialist 207WX0009X A193595 California

Profile Details

NPI number 1659909497
LBN Legal business name Creagmile, Jack Stephen
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 28th, 2020
Last updated Jul 15th, 2024 - about 2 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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