Ceola, Steven Derek

Ceola, Steven Derek is an individual health care provider with primary practice located at 2710 Rife Medical Ln , Rogers AR 72758-1452. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Ceola, Steven Derek can be contacted via phone (913) 381-5200.

Contact Information

Primary practice address
2710 Rife Medical Ln Rogers AR 72758-1452
Phone: (913) 381-5200
Fax: (913) 381-0979
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X CO1037 Arkansas

Profile Details

NPI number 1023078318
LBN Legal business name Ceola, Steven Derek
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 23rd, 2006
Last updated Sep 2nd, 2010 - about 16 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 1023078318 NPPES
Missouri MEDICAID 913903126
Missouri MEDICAID 134918701

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