Provider Demographics
NPI:1861469991
Name:GRIFFITH, CEABERT J (PA-C, ND)
Entity Type:Individual
Prefix:DR
First Name:CEABERT
Middle Name:J
Last Name:GRIFFITH
Suffix:
Gender:M
Credentials:PA-C, ND
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PSC 557 BOX 2873
Mailing Address - Street 2:
Mailing Address - City:FPO
Mailing Address - State:AP
Mailing Address - Zip Code:96379
Mailing Address - Country:JP
Mailing Address - Phone:01181611-745-3910
Mailing Address - Fax:
Practice Address - Street 1:PSC 557 BOX 2873
Practice Address - Street 2:
Practice Address - City:FPO
Practice Address - State:AP
Practice Address - Zip Code:96379
Practice Address - Country:JP
Practice Address - Phone:01181611-745-3910
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-03-08
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCNAT1000561175F00000X
NY002478363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered175F00000XOther Service ProvidersNaturopath
Not Answered363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical