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CREELMAN FAMILY PRACTICE PLLC NPI 1174699391


NPI Information

NPI: 1174699391
Provider Name: CREELMAN FAMILY PRACTICE PLLC

Former Legal Business Name: PAUL C CREELMAN MD ABFP & DAVID D SHILLING MD ABFP LLP ETAL

Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 50D0634339

Address:
712 S BURLINGTON BLVD
BURLINGTON, WA
ZIP 98233
Phone: (360) 757-0027
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CREELMAN FAMILY PRACTICE PLLC is a family medicine in Burlington, WA. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. CREELMAN FAMILY PRACTICE PLLC NPI is 1174699391. The provider is registered as an organization entity type and is a single specialty group.
The provider Former Legal Business Name Is Paul C Creelman Md Abfp & David D Shilling Md Abfp Llp Etal.

The provider's business location address is:

712 S BURLINGTON BLVD
BURLINGTON, WA
ZIP 98233-212
Phone: (360) 757-0027
Fax: (360) 757-3698

The provider's authorized official is Paul Christopher Creelman .
The authorized official title is Owner and has the following contact phone number (360) 757-0027.

The CLIA number assigned to this NPI record is 50D0634339 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 11/28/2006 and was last updated on 3/21/2018.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily MedicineYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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