Creasman, Michael Dale
Creasman, Michael Dale is an sole proprietor health care provider with primary practice located at 424 W Mcneese St , Lake Charles LA 70605-5547. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered. Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered is his primary health care specialty. Creasman, Michael Dale can be contacted via phone (337) 478-0511.Contact Information
Primary practice address
424 W Mcneese St
Lake Charles LA 70605-5547
Phone: (337) 478-0511
Fax: (337) 478-5644
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 32576 | Louisiana |
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered | 367500000X | AP01617 | Louisiana |
Profile Details
| NPI number | 1952388084 |
|---|---|
| LBN Legal business name | Creasman, Michael Dale |
| Credentials | Certified Registered Nurse Anesthetist (CRNA) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 29th, 2005 |
| Last updated | May 5th, 2022 - about 4 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 | 1952388084 | NPPES |
| Louisiana | Other | 430018737 | RAILROAD MEDICARE PIN |
| Louisiana | MEDICAID | 1995720 | RAILROAD MEDICARE PIN |
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