Creasy, Patrick Tye
Creasy, Patrick Tye is an individual health care provider with primary practice located at 900 E Washington St Suite 301, Colton CA 92324-7111. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Surgical. Physician Assistants & Advanced Practice Nursing Providers / Medical is his primary health care specialty. Creasy, Patrick Tye can be contacted via phone (909) 370-0300.Contact Information
Primary practice address
900 E Washington St Suite 301
Colton CA 92324-7111
Phone: (909) 370-0300
Fax: (909) 370-0303
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | PA21414 | California |
| Physician Assistants & Advanced Practice Nursing Providers / Surgical | 363AS0400X | PA21414 | California |
Profile Details
| NPI number | 1992000574 |
|---|---|
| LBN Legal business name | Creasy, Patrick Tye |
| Credentials | Physician Assistant (PA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 12th, 2011 |
| Last updated | Oct 8th, 2013 - about 12 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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