Creekside Medical Llc

LBN: Creekside Medical Llc
Creekside Medical Llc is an health care organization with primary practice located at 1910 Thomes Ave , Cheyenne WY 82001-3527. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Electrodiagnostic Medicine, which is considered as the primary health care specialty. Creekside Medical Llc can be contacted via phone (425) 890-6239, or through Wavra, Matthew via phone (425) 890-6239.

Contact Information

Primary practice address
1910 Thomes Ave Cheyenne WY 82001-3527
Phone: (425) 890-6239
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Wavra, Matthew
Phone: (425) 890-6239

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Electrodiagnostic Medicine 204R00000X

Profile Details

NPI number 1487167052
LBN Legal business name Creekside Medical Llc
DBA Doing business as
Authorized official Wavra, Matthew
Entity Organization
Organization subpart 1 No
Enumeration date Nov 6th, 2017
Last updated Sep 20th, 2018 - about 7 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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