Provider Demographics
NPI:1134372923
Name:CREATIVE ACTION LLC
Entity type:Organization
Organization Name:CREATIVE ACTION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT OF RESEARCH
Authorized Official - Prefix:DR
Authorized Official - First Name:ANTHONY
Authorized Official - Middle Name:A
Authorized Official - Last Name:STERNS
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:330-258-9000
Mailing Address - Street 1:441 WOLF LEDGES PKWY
Mailing Address - Street 2:SUITE 100
Mailing Address - City:AKRON
Mailing Address - State:OH
Mailing Address - Zip Code:44311-1030
Mailing Address - Country:US
Mailing Address - Phone:330-258-9000
Mailing Address - Fax:330-258-0916
Practice Address - Street 1:441 WOLF LEDGES PKWY
Practice Address - Street 2:SUITE 100
Practice Address - City:AKRON
Practice Address - State:OH
Practice Address - Zip Code:44311-1030
Practice Address - Country:US
Practice Address - Phone:330-258-9000
Practice Address - Fax:330-258-0916
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-10-24
Last Update Date:2008-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH77187542332BC3200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment