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Contact Information

DERRICK D CREIGHTON, MD
2432 EAGLERIDGE DR
HENDERSON, NV89074-6295
 Phone: 573-576-2701
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Emergency Medicine

207P00000X 93 Physician/Emergency Medicine
Indicates primary specialty

NPI Profile & details for DERRICK D CREIGHTON · (Male)

NPI Number 1134254824
Status Active
Credentials MD
Entity Individual
Enumeration date 02/22/2007
Last updated 04/22/2012 - About 14 years ago
Sole proprietor 1 No
Identifiers
  • TX License # PENDING
  • IL Medicaid 237246265001
  • MO Medicaid 01060802
  • TX Medicaid 186416701
  • MO Other 153 ANTHEM BC/BS
  • MO Other 46165 GHP
  • MO Other 110375 HEALTHLINK
  • TX Other 8X9731 BCBS
Hospital affiliation(s)
  • LAKES REGIONAL HEALTHCARE - (Acute Care)
    2301 HIGHWAY 71
    SPIRIT LAKE, IA 51360
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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