Creekmore, Desiree
Creekmore, Desiree is an individual health care provider with primary practice located at 2003 Kootenai Health Way , Coeur D Alene ID 83814-6051. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Acute Care, which is considered as her primary health care specialty. Creekmore, Desiree can be contacted via phone (208) 625-6754.Contact Information
Primary practice address
2003 Kootenai Health Way
Coeur D Alene ID 83814-6051
Phone: (208) 625-6754
Fax: (208) 625-6793
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Acute Care | 363LA2100X | AP61145770 | Washington |
Profile Details
| NPI number | 1639748890 |
|---|---|
| LBN Legal business name | Creekmore, Desiree |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 22nd, 2021 |
| Last updated | Apr 25th, 2024 - about 2 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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