Klingner, Mary Celeste

Klingner, Mary Celeste is an individual health care provider with primary practice located at 219 E Johnson Ave , Chelan WA 98816-9160. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / Family Medicine is her primary health care specialty. Klingner, Mary Celeste can be contacted via phone (509) 682-2511.

Contact Information

Primary practice address
219 E Johnson Ave Chelan WA 98816-9160
Phone: (509) 682-2511
Fax: (509) 682-2515
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD00042305 Washington
Allopathic & Osteopathic Physicians / Surgery 208600000X MD00042305 Washington

Profile Details

NPI number 1225001852
LBN Legal business name Klingner, Mary Celeste
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 13th, 2006
Last updated Feb 18th, 2013 - about 12 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 1225001852 NPPES
Washington Other 0196784 L&I
Washington MEDICAID 835045 L&I

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