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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 13 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 1588639207 NPPES
Minnesota MEDICAID 738590100

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