1154330678 NPI number — DR. CHRISTOPHER EDWARD CURTIS M.D.

Table of content: DR. CHRISTOPHER EDWARD CURTIS M.D. (NPI 1154330678)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1154330678 NPI number — DR. CHRISTOPHER EDWARD CURTIS M.D.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
CURTIS
Provider First Name:
CHRISTOPHER
Provider Middle Name:
EDWARD
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
M.D.
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1154330678
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
08/20/2013
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
MADIGAN ARMY MEDICAL CTR
Provider Second Line Business Mailing Address:
9040 JACKSON AVE
Provider Business Mailing Address City Name:
TACOMA
Provider Business Mailing Address State Name:
WA
Provider Business Mailing Address Postal Code:
98431-1100
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
831-242-6477
Provider Business Mailing Address Fax Number:
831-242-6878

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
473 CABRILLO ST BLDG 422
Provider Second Line Business Practice Location Address:
PRESIDIO OF MONTEREY ARMY HEALTH CLINIC
Provider Business Practice Location Address City Name:
PRESIDIO OF MONTEREY
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
93944-3201
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
831-242-6477
Provider Business Practice Location Address Fax Number:
831-242-6878
Provider Enumeration Date:
08/05/2006

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: 208D00000X , with the licence number:  23807 , registered in the state of NE ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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