1811142441 NPI number — MS. CHRISTINE MARIE OCONNOR M.T.

Table of content: MS. CHRISTINE MARIE OCONNOR M.T. (NPI 1811142441)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1811142441 NPI number — MS. CHRISTINE MARIE OCONNOR M.T.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
OCONNOR
Provider First Name:
CHRISTINE
Provider Middle Name:
MARIE
Provider Name Prefix Text:
MS.
Provider Name Suffix Text:
Provider Credential Text:
M.T.
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
OCONNOR
Provider Other First Name:
CHRIS
Provider Other Middle Name:
Provider Other Name Prefix Text:
MS.
Provider Other Name Suffix Text:
Provider Other Credential Text:
M.T
Provider Other Last Name Type Code:
5

NPI Number Information

NPI Number:
1811142441
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
11/24/2008
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 964
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
CLARK
Provider Business Mailing Address State Name:
CO
Provider Business Mailing Address Postal Code:
80428-0964
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
970-846-5862
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
127 11 ST.
Provider Second Line Business Practice Location Address:
SUITE 4
Provider Business Practice Location Address City Name:
STEAMBOAT SPRINGS
Provider Business Practice Location Address State Name:
CO
Provider Business Practice Location Address Postal Code:
80477-0127
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
970-870-9948
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
11/24/2008

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: 225700000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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





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