Individual
CHRISTINE BURCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
18901 LAKE SHORE BLVD, EUCLID, OH 44119-1078
(216) 531-9000
Mailing address
36000 EUCLID AVE, MSO, WILLOUGHBY, OH 44094
(440) 953-6082
(440) 953-6101
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
50-000874
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0068559
—
OH
01
—
H346531
MEDICARE
OH
Enumeration date
04/28/2008
Last updated
02/26/2021
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