Christie Ann Ceballos in Liberty Lake - Physician Assistant
Christie Ann Ceballos - NPI 1356537989
Christie Ann Ceballos is a Physician Assistant in Liberty Lake, Washington. Christie Ann Ceballos practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Christie Ann Ceballos is 1356537989. The last update date is 2022-04-15.
Christie Ann Ceballos's current location address is 1429 N Liberty Lake Dr., Liberty Lake, Washington. You can contact this provider via phone number 5095305460 and fax number 5095305477. The mailing address for Christie Ann Ceballos is 1429 N Liberty Lake Dr., Liberty Lake, Washington. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Christie Ann Ceballos |
|---|---|
| Address | 1429 N Liberty Lake Dr., Liberty Lake, Washington |
| Phone Number | 5095305460 |
| Fax Number | 5095305477 |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1356537989 |
|---|---|
| Provider Enumeration Date | 2007-09-18 |
| Last Updated Date | 2022-04-15 |
Provider Mailing Address Detail
| Address | 1429 N Liberty Lake Dr. |
|---|---|
| City | Liberty Lake |
| State | Washington (WA) |
| Post Code | 99019 |
| Phone Number | 5095305460 |
| Fax Number | 5095305477 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | PA60546976 |
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Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| G8941441 | WA | MEDICARE | |
| 1356537989 | WA | -- |
Post Comment/ Review Below
What is the Christie Ann Ceballos's 1356537989?
The Christie Ann Ceballos's NPI (National Provider Identifier) Number is 1356537989. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Christie Ann Ceballos is geographically located?
The Christie Ann Ceballos is physically situated at the following location: 1429 N Liberty Lake Dr., Liberty Lake, WA, 99019.
What is the Christie Ann Ceballos's specialty and taxonomy code?
The Christie Ann Ceballos's specialty is Physician Assistant, and the corresponding taxonomy code is 363A00000X.
On what date did the Christie Ann Ceballos receive the assignment of its 1356537989 from the Centers for Medicare & Medicaid Services?
The Christie Ann Ceballos was issued its 1356537989 by the Centers for Medicare & Medicaid Services on 2007-09-18.
As of what date was the information regarding Christie Ann Ceballos, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Christie Ann Ceballos, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2022-04-15.
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