Chang, Celine

Chang, Celine is an individual health care provider with primary practice located at 6020 Meadowridge Center Dr Ste P1 , Elkridge MD 21075-6528. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Chang, Celine can be contacted via phone (443) 492-9466.

Contact Information

Primary practice address
6020 Meadowridge Center Dr Ste P1 Elkridge MD 21075-6528
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X AC003550 Maryland

Profile Details

NPI number 1982299921
LBN Legal business name Chang, Celine
Credentials CPNP-PC
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 2nd, 2021
Last updated Oct 5th, 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 1982299921 NPPES
Maryland MEDICAID 766383800

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