Provider Demographics
NPI:1275778359
Name:HABROCK, CHRISTI
Entity Type:Individual
Prefix:
First Name:CHRISTI
Middle Name:
Last Name:HABROCK
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:HC 69 BOX 1405
Mailing Address - Street 2:
Mailing Address - City:FINLEY
Mailing Address - State:OK
Mailing Address - Zip Code:74543-9649
Mailing Address - Country:US
Mailing Address - Phone:580-298-8487
Mailing Address - Fax:
Practice Address - Street 1:HC 69 BOX 1405
Practice Address - Street 2:
Practice Address - City:FINLEY
Practice Address - State:OK
Practice Address - Zip Code:74543-9649
Practice Address - Country:US
Practice Address - Phone:580-298-8487
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-12-03
Last Update Date:2008-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator