Mousaw, Christie O
Mousaw, Christie O is an individual health care provider with primary practice located at 300 Evergreen Dr Suite 310, Glen Mills PA 19342-1059. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Mousaw, Christie O can be contacted via phone (610) 579-3564.Contact Information
Primary practice address
300 Evergreen Dr Suite 310
Glen Mills PA 19342-1059
Phone: (610) 579-3564
Fax: (610) 579-3566
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | OS 012760 | Pennsylvania |
Profile Details
| NPI number | 1265539050 |
|---|---|
| LBN Legal business name | Mousaw, Christie O |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 20th, 2006 |
| Last updated | Jul 8th, 2014 - about 11 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 | 1265539050 | NPPES |
| Pennsylvania | MEDICAID | 101720742 |
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