Creamer, Holly Marie
Creamer, Holly Marie is an sole proprietor health care provider with primary practice located at 971 E. Wichita Ave. , Russell KS 67665. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Behavioral Analyst, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist, Respite Care Facility / Respite Care, Mental Illness, Child. Respite Care Facility / Respite Care, Mental Illness, Child is her primary health care specialty. Creamer, Holly Marie can be contacted via phone (785) 657-7464.Contact Information
Primary practice address
971 E. Wichita Ave.
Russell KS 67665
Phone: (785) 657-7464
Fax: (785) 445-4042
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Behavioral Analyst | 103K00000X | ||
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist | 222Q00000X | Kansas | |
| Respite Care Facility / Respite Care, Mental Illness, Child | 385HR2055X | Kansas |
Profile Details
| NPI number | 1457820086 |
|---|---|
| LBN Legal business name | Creamer, Holly Marie |
| Credentials | BCBA |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 13th, 2018 |
| Last updated | May 28th, 2019 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1457820086 | NPPES |
| Kansas | MEDICAID | 201234000A |
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