Provider Demographics
NPI:1326211418
Name:EGGERLING, CHRYSTIE L (NMD)
Entity Type:Individual
Prefix:DR
First Name:CHRYSTIE
Middle Name:L
Last Name:EGGERLING
Suffix:
Gender:F
Credentials:NMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7425 E SHEA BLVD
Mailing Address - Street 2:106
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85260-6411
Mailing Address - Country:US
Mailing Address - Phone:480-905-9200
Mailing Address - Fax:480-609-3915
Practice Address - Street 1:7425 E SHEA BLVD
Practice Address - Street 2:106
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85260-6411
Practice Address - Country:US
Practice Address - Phone:480-905-9200
Practice Address - Fax:480-609-3915
Is Sole Proprietor?:Yes
Enumeration Date:2008-04-09
Last Update Date:2008-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ08-1052175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath