An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
* Indicates primary specialty
| NPI Number | 1487217006 |
| Legal business name LBN |
CREEKSIDE PREMIER MEDICAL GROUP PLLC |
| Authorized official | DAVID ELLENT - (PRESIDENT) |
| Entity | Organization |
| Organization subpart | No |
| Enumeration date | 04/18/2019 |
| Last updated | 08/27/2025 - About 9 months ago |
| Sole proprietor1 | Not specified |
| Identifiers | n/a |
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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