Provider Demographics
NPI:1043395478
Name:SLOOP, CHRISTINE HUSE (MD)
Entity Type:Individual
Prefix:DR
First Name:CHRISTINE
Middle Name:HUSE
Last Name:SLOOP
Suffix:
Gender:F
Credentials:MD
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Other - Credentials:
Mailing Address - Street 1:2068 TALBERT DR
Mailing Address - Street 2:STE 150
Mailing Address - City:CHICO
Mailing Address - State:CA
Mailing Address - Zip Code:95928-7723
Mailing Address - Country:US
Mailing Address - Phone:530-876-7915
Mailing Address - Fax:
Practice Address - Street 1:111 RALEY BLVD STE 140
Practice Address - Street 2:
Practice Address - City:CHICO
Practice Address - State:CA
Practice Address - Zip Code:95928-8351
Practice Address - Country:US
Practice Address - Phone:530-342-5776
Practice Address - Fax:530-898-0178
Is Sole Proprietor?:No
Enumeration Date:2006-10-26
Last Update Date:2016-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG63549207V00000X, 207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAE98232Medicare UPIN
GUH55872Medicare ID - Type Unspecified