Provider Demographics
NPI:1053497255
Name:SIKORSKI, CHRISTINE E (PAC)
Entity Type:Individual
Prefix:MRS
First Name:CHRISTINE
Middle Name:E
Last Name:SIKORSKI
Suffix:
Gender:F
Credentials:PAC
Other - Prefix:MRS
Other - First Name:CHRISTINE
Other - Middle Name:E
Other - Last Name:FOLTZ SIKORSKI
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PAC
Mailing Address - Street 1:10200 N 92ND ST STE 200
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85258-4543
Mailing Address - Country:US
Mailing Address - Phone:480-882-7410
Mailing Address - Fax:
Practice Address - Street 1:10200 N 92ND ST STE 200
Practice Address - Street 2:
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85258-4543
Practice Address - Country:US
Practice Address - Phone:480-882-7410
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-10-31
Last Update Date:2024-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ2282207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ537417Medicaid
AZ537417Medicaid
P46802Medicare UPIN