Provider Demographics
NPI:1174388128
Name:MAHLER, CHRISTIAN A
Entity type:Individual
Prefix:MS
First Name:CHRISTIAN
Middle Name:A
Last Name:MAHLER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7223 E TANGLEWOOD DR
Mailing Address - Street 2:
Mailing Address - City:MARBLEHEAD
Mailing Address - State:OH
Mailing Address - Zip Code:43440-9803
Mailing Address - Country:US
Mailing Address - Phone:419-707-2696
Mailing Address - Fax:
Practice Address - Street 1:7223 E TANGLEWOOD DR
Practice Address - Street 2:
Practice Address - City:MARBLEHEAD
Practice Address - State:OH
Practice Address - Zip Code:43440-9803
Practice Address - Country:US
Practice Address - Phone:419-707-2696
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-02-19
Last Update Date:2024-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH6988409269CM3747P1801X, 376J00000X
OHRY935855172A00000X
OH615481-DD00182216374U00000X
NA374U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide
No3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant
No172A00000XOther Service ProvidersDriver
No376J00000XNursing Service Related ProvidersHomemaker