JAN L CREAN MD FACOG OB/GYN PC NPI 1720305576

NPI Information

  • NPI: 1720305576
  • Provider Name: JAN L CREAN MD FACOG OB/GYN PC
  • Classification: Specialist - 174400000X
  • Entity Type: Organization
  • Former Legal Business Name: JAN L CREAN MD FACOG OBSTETRICS & GYNECOLOGY
  • Address: 603 LAKE WAY PL
    SUITE B
    TULLAHOMA, TN
    ZIP 37388
  • Phone: (931) 455-1177

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NPI Details

JAN L CREAN MD FACOG OB/GYN PC is a specialist in Tullahoma, TN. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. JAN L CREAN MD FACOG OB/GYN PC NPI is 1720305576. The provider is registered as an organization entity type and is a single specialty group.
The provider Former Legal Business Name Is Jan L Crean Md Facog Obstetrics & Gynecology.

The provider's business location address is:

603 LAKE WAY PL
SUITE B
TULLAHOMA, TN
ZIP 37388-740
Phone: (931) 455-1177
Fax: (931) 461-3091

The provider's authorized official is Jan L Crean .
The authorized official title is President and has the following contact phone number (931) 455-1177.

The enumeration date for this NPI number is 5/3/2010 and was last updated on 5/19/2010.

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
1174400000XSpecialist036135TENNESSEEYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
13875474MEDICARE PINTENNESSEE

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: 3/30/2025

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