Gonzalez, Celerina
Gonzalez, Celerina is an individual health care provider with primary practice located at 1833 2Nd Ave S - Mail Stop 39300A Riverway Clinic - Anoka, Anoka MN 55303-2432. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Gonzalez, Celerina can be contacted via phone (763) 587-4400.Contact Information
Primary practice address
1833 2Nd Ave S - Mail Stop 39300A Riverway Clinic - Anoka
Anoka MN 55303-2432
Phone: (763) 587-4400
Fax: (763) 587-4205
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 27857 | Minnesota |
Profile Details
| NPI number | 1588639207 |
|---|---|
| LBN Legal business name | Gonzalez, Celerina |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 17th, 2006 |
| Last updated | Dec 1st, 2011 - about 14 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1588639207 | NPPES |
| Minnesota | MEDICAID | 738590100 |
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