Individual
DR. JAMES R CREPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DSCPT, OCS, CMPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501002970
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0007902726
AETNA PROVIDER ID
MI
05
—
104795708
—
MI
01
—
141688
PREFERRED CHOICES INDIVID
MI
01
—
151452
GLHP INDIV ID
MI
01
—
5387590001
MEDICARE DME ID
MI
01
—
650D610700
BCBS OF MICHIGAN INDIV ID
MI
01
—
853320223
UNITED HEALTHCARE INDIVID
MI
01
—
9185183
CIGNA PPO INDIV ID
MI
Enumeration date
10/10/2006
Last updated
01/03/2012
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