Individual
DR. JAMES R CREPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DSCPT, OCS, CMPT
Contact information
Practice address
202 S LANE ST, BLISSFIELD, MI 49228-1243
(517) 486-5278
(517) 486-5298
Mailing address
202 S LANE ST, PO BOX 162, BLISSFIELD, MI 49228-1243
(517) 486-5278
(517) 486-5298
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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