Creedon, Patrick J

Creedon, Patrick J is an individual health care provider with primary practice located at 28 Crescent St Middlesex Hospital, Middletown CT 06457-3654. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Surgical. Physician Assistants & Advanced Practice Nursing Providers / Surgical is his primary health care specialty. Creedon, Patrick J can be contacted via phone (860) 358-6394.

Contact Information

Primary practice address
28 Crescent St Middlesex Hospital Middletown CT 06457-3654
Phone: (860) 358-6394
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 001265 Connecticut
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 001265 Connecticut

Profile Details

NPI number 1295836104
LBN Legal business name Creedon, Patrick J
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 25th, 2006
Last updated Apr 12th, 2017 - about 9 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 1295836104 NPPES
Connecticut MEDICAID 003012655

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