Provider Demographics
NPI:1366629909
Name:CHRISTOPHER SEGLER
Entity Type:Organization
Organization Name:CHRISTOPHER SEGLER
Other - Org Name:ANKLE & FOOT CENTER OF CHATTANOOGA
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/SOLE PROPRIETOR
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:
Authorized Official - Last Name:SEGLER
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:423-877-8870
Mailing Address - Street 1:5870 HIGHWAY 153
Mailing Address - Street 2:SUITE 104
Mailing Address - City:HIXSON
Mailing Address - State:TN
Mailing Address - Zip Code:37343-5826
Mailing Address - Country:US
Mailing Address - Phone:423-877-8870
Mailing Address - Fax:423-877-8878
Practice Address - Street 1:5870 HIGHWAY 153
Practice Address - Street 2:SUITE 104
Practice Address - City:HIXSON
Practice Address - State:TN
Practice Address - Zip Code:37343-5826
Practice Address - Country:US
Practice Address - Phone:423-877-8870
Practice Address - Fax:423-877-8878
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CHRISTOPHER SEGLER
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2008-01-25
Last Update Date:2008-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNDPM648332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN3354294Medicaid
TN5878396OtherCIGNA
TN3354294OtherBCBS TN
GA52218116001OtherBCBS GA
TN408257618OtherTRICARE
TNP00377796OtherRAILROAD MEDICARE
TNTN0101OtherJOHN DEERE HEALTHCARE
TN6025960001Medicare NSC
TNTN0101OtherJOHN DEERE HEALTHCARE
TN3354294OtherBCBS TN
TNP00377796OtherRAILROAD MEDICARE