1295725265 NPI number — DR. CHRISTINE FRANCES DALRYMPLE DPM

Table of content: DR. CHRISTINE FRANCES DALRYMPLE DPM (NPI 1295725265)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1295725265 NPI number — DR. CHRISTINE FRANCES DALRYMPLE DPM

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
DALRYMPLE
Provider First Name:
CHRISTINE
Provider Middle Name:
FRANCES
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
DPM
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
DALRYMPLE
Provider Other First Name:
CHRISTINE
Provider Other Middle Name:
FRANCES
Provider Other Name Prefix Text:
DR.
Provider Other Name Suffix Text:
Provider Other Credential Text:
DPM
Provider Other Last Name Type Code:
5

NPI Number Information

NPI Number:
1295725265
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
12/15/2014
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
451 ANDOVER ST
Provider Second Line Business Mailing Address:
SUITE 209
Provider Business Mailing Address City Name:
NORTH ANDOVER
Provider Business Mailing Address State Name:
MA
Provider Business Mailing Address Postal Code:
01845-5044
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
978-686-7623
Provider Business Mailing Address Fax Number:
978-683-9911

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
451 ANDOVER ST
Provider Second Line Business Practice Location Address:
SUITE 209
Provider Business Practice Location Address City Name:
NORTH ANDOVER
Provider Business Practice Location Address State Name:
MA
Provider Business Practice Location Address Postal Code:
01845-5044
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
978-686-7623
Provider Business Practice Location Address Fax Number:
978-683-9911
Provider Enumeration Date:
10/21/2005

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: 213ES0131X , with the licence number:  2351 , registered in the state of MA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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





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