Provider Demographics
NPI:1225314453
Name:CREATIVE MEDICAL DESIGNS, LLC
Entity Type:Organization
Organization Name:CREATIVE MEDICAL DESIGNS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:DR
Authorized Official - First Name:JEFFREY
Authorized Official - Middle Name:
Authorized Official - Last Name:KATZ
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:410-984-3406
Mailing Address - Street 1:123 ROESLER RD
Mailing Address - Street 2:
Mailing Address - City:GLEN BURNIE
Mailing Address - State:MD
Mailing Address - Zip Code:21060-6519
Mailing Address - Country:US
Mailing Address - Phone:877-788-8770
Mailing Address - Fax:410-766-8022
Practice Address - Street 1:123 ROESLER RD
Practice Address - Street 2:
Practice Address - City:GLEN BURNIE
Practice Address - State:MD
Practice Address - Zip Code:21060-6519
Practice Address - Country:US
Practice Address - Phone:877-788-8770
Practice Address - Fax:410-766-8022
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-11-02
Last Update Date:2011-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies