Entwistle, Celia B

Entwistle, Celia B is an individual health care provider with primary practice located at 200 Medical Park Dr Ste 400 , Concord NC 28025-0939. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Undersea and Hyperbaric Medicine. Allopathic & Osteopathic Physicians / Undersea and Hyperbaric Medicine is her primary health care specialty. Entwistle, Celia B can be contacted via phone (704) 786-1108.

Contact Information

Primary practice address
200 Medical Park Dr Ste 400 Concord NC 28025-0939
Phone: (704) 786-1108
Fax: (704) 782-1826
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 36179 North Carolina
Allopathic & Osteopathic Physicians / Undersea and Hyperbaric Medicine 2083P0011X 36179 North Carolina

Profile Details

NPI number 1407806110
LBN Legal business name Entwistle, Celia B
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 11th, 2006
Last updated Oct 13th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1407806110 NPPES
Texas MEDICAID 046910802
Texas MEDICAID 89-30701
Texas Other 30701
Texas Other 930095201
Texas MEDICAID N36179

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