Creighton, Amery Jean

Creighton, Amery Jean is an individual health care provider with primary practice located at 4300B W Railroad St , Gulfport MS 39501. She recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as her primary health care specialty. Creighton, Amery Jean can be contacted via phone (228) 863-7393.

Contact Information

Primary practice address
4300B W Railroad St Gulfport MS 39501
Phone: (228) 863-7393
Fax: (228) 868-6643
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 19452 Mississippi

Profile Details

NPI number 1801893243
LBN Legal business name Creighton, Amery Jean
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 30th, 2005
Last updated May 29th, 2018 - about 8 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 1801893243 NPPES
Mississippi MEDICAID 02423720

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