Koedel, Christie Leigh

Koedel, Christie Leigh is an individual health care provider with primary practice located at 24 Carrow St , Orchard Park NY 14127-2604. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Koedel, Christie Leigh can be contacted via phone (716) 662-3443.

Contact Information

Primary practice address
24 Carrow St Orchard Park NY 14127-2604
Phone: (716) 662-3443
Fax: (716) 972-0374
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X F381603 New York

Profile Details

NPI number 1366541427
LBN Legal business name Koedel, Christie Leigh
Credentials Certified Pediatric Nurse Practitioner (CPNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 22nd, 2006
Last updated Jun 26th, 2008 - about 18 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 1366541427 NPPES
New York Other 9512152 INDEPENDENT HEALTH ASSOCIATION
New York Other 00026923001 INDEPENDENT HEALTH ASSOCIATION
New York Other 000560738003 INDEPENDENT HEALTH ASSOCIATION
New York MEDICAID 02529793 INDEPENDENT HEALTH ASSOCIATION

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