Provider Demographics
NPI:1164910832
Name:FROST, CHRISTOPHER W
Entity Type:Individual
Prefix:
First Name:CHRISTOPHER
Middle Name:W
Last Name:FROST
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:148 MONACY RD
Mailing Address - Street 2:
Mailing Address - City:COATESVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:19320-1446
Mailing Address - Country:US
Mailing Address - Phone:610-857-3242
Mailing Address - Fax:
Practice Address - Street 1:148 MONACY RD
Practice Address - Street 2:
Practice Address - City:COATESVILLE
Practice Address - State:PA
Practice Address - Zip Code:19320-1446
Practice Address - Country:US
Practice Address - Phone:610-857-3242
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-04-27
Last Update Date:2018-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes372600000XNursing Service Related ProvidersAdult Companion