Ceballos, Christie Ann

Ceballos, Christie Ann is an individual health care provider with primary practice located at 1429 N Liberty Lake Dr. , Liberty Lake WA 99019. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Ceballos, Christie Ann can be contacted via phone (509) 530-5460.

Contact Information

Primary practice address
1429 N Liberty Lake Dr. Liberty Lake WA 99019
Phone: (509) 530-5460
Fax: (509) 530-5477
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA19348 California
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA60546976 Washington

Profile Details

NPI number 1356537989
LBN Legal business name Ceballos, Christie Ann
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 18th, 2007
Last updated Apr 15th, 2022 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1356537989 NPPES
Washington Other G8941441 MEDICARE
Washington MEDICAID 1356537989 MEDICARE

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