Miceli, Christine
Miceli, Christine is an individual health care provider with primary practice located at 18780 Bagley Rd Ste 108 , Cleveland OH 44130-3304. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Miceli, Christine can be contacted via phone (440) 816-2330.Contact Information
Primary practice address
18780 Bagley Rd Ste 108
Cleveland OH 44130-3304
Phone: (440) 816-2330
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 50-001156 | Ohio |
Profile Details
| NPI number | 1619949534 |
|---|---|
| LBN Legal business name | Miceli, Christine |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 3rd, 2006 |
| Last updated | Aug 4th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1619949534 | NPPES |
| Ohio | Other | 000000329801 | ANTHEM |
| Ohio | Other | 000000360051 | ANTHEM |
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