Provider Demographics
NPI:1639986235
Name:CAESAR, CELIA ANN
Entity type:Individual
Prefix:
First Name:CELIA
Middle Name:ANN
Last Name:CAESAR
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6940 CRYSTAL SPRINGS RD
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45227-4415
Mailing Address - Country:US
Mailing Address - Phone:513-823-0997
Mailing Address - Fax:
Practice Address - Street 1:6940 CRYSTAL SPRINGS RD
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45227-4415
Practice Address - Country:US
Practice Address - Phone:513-823-0997
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-12-17
Last Update Date:2024-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program