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:
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Health care specialties

SpecialtyCodeLicense #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 10 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 1265539050 NPPES
Pennsylvania MEDICAID 101720742

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