Celenza, Joanne M.

Celenza, Joanne M. is an individual health care provider with primary practice located at 7777 Forest Ln Suite A307, Dallas TX 75230-2571. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as her primary health care specialty. Celenza, Joanne M. can be contacted via phone (972) 566-4866.

Contact Information

Primary practice address
7777 Forest Ln Suite A307 Dallas TX 75230-2571
Phone: (972) 566-4866
Fax: (972) 566-2469
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 0110002198 Virginia
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X AP08625 Texas

Profile Details

NPI number 1629054648
LBN Legal business name Celenza, Joanne M.
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 21st, 2005
Last updated Jan 4th, 2022 - about 2 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 1629054648 NPPES
Virginia MEDICAID 010222796
Virginia Other 203639329

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