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Contact Information

CHRISTIE A CEBALLOS, PA-C
1429 N LIBERTY LAKE DR.
LIBERTY LAKE, WA99019
 Phone: 509-530-5460
 Fax: 509-530-5477
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
 

Medical

363AM0700X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for CHRISTIE A CEBALLOS · (Female)

NPI Number 1356537989
Status Active
Credentials PA-C (Physician Assistant-Certified)
Entity Individual
Enumeration date 09/18/2007
Last updated 04/15/2022 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • CA License # PA19348
  • WA License # PA60546976
  • WA Medicaid 1356537989
  • WA Other G8941441 MEDICARE
Hospital affiliation(s)
  • DEACONESS HOSPITAL - (Acute Care)
    W 800 FIFTH AVENUE
    SPOKANE, WA 99210
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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