Creeden, Paul T

Creeden, Paul T is an individual health care provider with primary practice located at 516 Division St Suite 120, Cedar Falls IA 50613-2382. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Creeden, Paul T can be contacted via phone (319) 266-0345.

Contact Information

Primary practice address
516 Division St Suite 120 Cedar Falls IA 50613-2382
Phone: (319) 266-0345
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 01870 Iowa

Profile Details

NPI number 1033260997
LBN Legal business name Creeden, Paul T
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 16th, 2007
Last updated Dec 22nd, 2009 - about 17 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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Identifiers

StateTypeNumberIssuer
All States NPI 1033260997 NPPES
Iowa Other 410027324 MEDICARE ID
Iowa MEDICAID 0117267 MEDICARE ID
Iowa Other 18418 MEDICARE ID
Iowa Other CG4244 MEDICARE ID

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