1972599918 NPI number — DR. CHRISTINE LEE SEARS M.D.

Table of content: DR. CHRISTINE LEE SEARS M.D. (NPI 1972599918)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1972599918 NPI number — DR. CHRISTINE LEE SEARS M.D.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
SEARS
Provider First Name:
CHRISTINE
Provider Middle Name:
LEE
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
M.D.
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
GRAY
Provider Other First Name:
CHRISTINE
Provider Other Middle Name:
LEE
Provider Other Name Prefix Text:
DR.
Provider Other Name Suffix Text:
Provider Other Credential Text:
M.D.
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1972599918
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
01/11/2019
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
DEPARTMENT OF UROLOGY NATIONAL NAVAL MEDICAL CENTE
Provider Second Line Business Mailing Address:
8901 WISCONSIN AVE
Provider Business Mailing Address City Name:
BETHESDA
Provider Business Mailing Address State Name:
MD
Provider Business Mailing Address Postal Code:
20889-0001
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
301-295-4271
Provider Business Mailing Address Fax Number:
301-295-4280

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
NAVAL HEALTH CLINIC OAK HARBOR 3475 N SARATOGA ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
OAK HARBOR
Provider Business Practice Location Address State Name:
WA
Provider Business Practice Location Address Postal Code:
98278-0001
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
603-257-9974
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
09/26/2005

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 208800000X , with the licence number:  51738 , registered in the state of VA ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 2088F0040X , with the licence number: 51738 , registered in the state of VA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)