Individual
CELSIE CHANNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2500 METROHEALTH DR, CLEVELAND, OH 44109-1900
(216) 778-7800
Mailing address
2500 METROHEALTH DR, CLEVELAND, OH 44109-1900
(330) 612-8624
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
—
367H00000X
Anesthesiologist Assistant
Primary
67.000411
OH
367H00000X
Anesthesiologist Assistant
—
—
Other
Enumeration date
03/14/2018
Last updated
12/27/2021
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