Provider Demographics
NPI:1093155194
Name:NEUBIG, CHRISTEL L (STNA)
Entity Type:Individual
Prefix:MISS
First Name:CHRISTEL
Middle Name:L
Last Name:NEUBIG
Suffix:
Gender:F
Credentials:STNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:603 SIEBERT ST
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43206-2849
Mailing Address - Country:US
Mailing Address - Phone:614-743-8080
Mailing Address - Fax:
Practice Address - Street 1:603 SIEBERT ST
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43206-2849
Practice Address - Country:US
Practice Address - Phone:614-743-8080
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-07-03
Last Update Date:2013-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
334554260501376K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376K00000XNursing Service Related ProvidersNurse's Aide