Creel, Nicholas B
Creel, Nicholas B is an sole proprietor health care provider with primary practice located at 215 Oak Dr S Ste A, Lake Jackson TX 77566-5617. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Creel, Nicholas B can be contacted via phone (979) 297-1241.Contact Information
Primary practice address
215 Oak Dr S Ste A
Lake Jackson TX 77566-5617
Phone: (979) 297-1241
Fax: (979) 297-5692
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | E1833 | Texas |
Profile Details
| NPI number | 1215931613 |
|---|---|
| LBN Legal business name | Creel, Nicholas B |
| Credentials | M.D. ,PA. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 13th, 2005 |
| Last updated | Jan 4th, 2012 - about 14 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1215931613 | NPPES |
| Texas | MEDICAID | 035580201 |
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