Caicedo, Christian Humberto

Caicedo, Christian Humberto is an individual health care provider with primary practice located at 111 S Front St , Harrisburg PA 17101-2010. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Emergency Medicine. Allopathic & Osteopathic Physicians / Emergency Medicine is his primary health care specialty. Caicedo, Christian Humberto can be contacted via phone (717) 988-0000.

Contact Information

Primary practice address
111 S Front St Harrisburg PA 17101-2010
Phone: (717) 988-0000
Fax: (717) 782-5716
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD422025 Pennsylvania
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X MD422025 Pennsylvania

Profile Details

NPI number 1053393223
LBN Legal business name Caicedo, Christian Humberto
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 15th, 2005
Last updated Jan 16th, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1053393223 NPPES
Pennsylvania MEDICAID 1008196900003
Pennsylvania Other 145886
Pennsylvania MEDICAID 100819690
Pennsylvania MEDICAID 1008196900001
Pennsylvania Other 83232
Pennsylvania Other 1533717
Pennsylvania Other 50034081
Pennsylvania Other 30024882
Pennsylvania Other 001523122

Popular Providers