Provider Demographics
NPI:1215034038
Name:HUSING, CHRISTOPHER MICHAEL (RD, LD)
Entity Type:Individual
Prefix:MR
First Name:CHRISTOPHER
Middle Name:MICHAEL
Last Name:HUSING
Suffix:
Gender:M
Credentials:RD, LD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:8885 MONTEREY OAKS DR
Mailing Address - Street 2:
Mailing Address - City:ELK GROVE
Mailing Address - State:CA
Mailing Address - Zip Code:95758-6348
Mailing Address - Country:US
Mailing Address - Phone:916-730-8165
Mailing Address - Fax:916-638-4686
Practice Address - Street 1:10665 COLOMA RD
Practice Address - Street 2:SUITE 400
Practice Address - City:RANCHO CORDOVA
Practice Address - State:CA
Practice Address - Zip Code:95670-4026
Practice Address - Country:US
Practice Address - Phone:916-638-4735
Practice Address - Fax:916-638-4686
Is Sole Proprietor?:No
Enumeration Date:2006-09-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXDT06499133V00000X
883147133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered133V00000XDietary & Nutritional Service ProvidersDietitian, Registered