Creighton, Jared William

Creighton, Jared William is an individual health care provider with primary practice located at 19437 Evans St Nw , Elk River MN 55330-1074. He recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as his primary health care specialty. Creighton, Jared William can be contacted via phone (763) 515-3532.

Contact Information

Primary practice address
19437 Evans St Nw Elk River MN 55330-1074
Phone: (763) 515-3532
Fax: (763) 515-6282
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X

Profile Details

NPI number 1083496764
LBN Legal business name Creighton, Jared William
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 18th, 2023
Last updated Oct 18th, 2023 - about 3 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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