Garcellano, Miriam L

Garcellano, Miriam L is an sole proprietor health care provider with primary practice located at 625 Africa Rd Ste 220 , Westerville OH 43082. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine. Allopathic & Osteopathic Physicians / Family Medicine is her primary health care specialty. Garcellano, Miriam L can be contacted via phone (614) 882-2349.

Contact Information

Primary practice address
625 Africa Rd Ste 220 Westerville OH 43082
Fax: (614) 882-9005
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 1170 South Carolina
Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine 207QH0002X 5101016318 Michigan
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 34010542 Ohio

Profile Details

NPI number 1710107180
LBN Legal business name Garcellano, Miriam L
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 26th, 2007
Last updated Mar 7th, 2023 - about last year

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 1710107180 NPPES
South Carolina Other P00906562 RAILROAD MEDICARE PTAN
South Carolina MEDICAID 0072014 RAILROAD MEDICARE PTAN
South Carolina MEDICAID 011702 RAILROAD MEDICARE PTAN

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