Cebulko, Michelle Y

Cebulko, Michelle Y is an individual health care provider with primary practice located at 805 N 36Th St Ste B , Saint Joseph MO 64506-2954. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Cebulko, Michelle Y can be contacted via phone (816) 396-6026.

Contact Information

Primary practice address
805 N 36Th St Ste B Saint Joseph MO 64506-2954
Phone: (816) 396-6026
Fax: (816) 398-6896
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 112854 Missouri

Profile Details

NPI number 1831259654
LBN Legal business name Cebulko, Michelle Y
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 11th, 2006
Last updated Sep 25th, 2020 - about 6 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 1831259654 NPPES
Kansas MEDICAID 100369520A
Kansas MEDICAID 205008006

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