Provider Demographics
NPI:1417572769
Name:HUEBNER, CHRISTINE (CPO)
Entity Type:Individual
Prefix:
First Name:CHRISTINE
Middle Name:
Last Name:HUEBNER
Suffix:
Gender:F
Credentials:CPO
Other - Prefix:
Other - First Name:CHRISSY
Other - Middle Name:
Other - Last Name:HUEBNER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:433 NETWORK STA
Mailing Address - Street 2:
Mailing Address - City:CHESAPEAKE
Mailing Address - State:VA
Mailing Address - Zip Code:23320-3851
Mailing Address - Country:US
Mailing Address - Phone:757-828-5300
Mailing Address - Fax:
Practice Address - Street 1:433 NETWORK STA
Practice Address - Street 2:
Practice Address - City:CHESAPEAKE
Practice Address - State:VA
Practice Address - Zip Code:23320-3851
Practice Address - Country:US
Practice Address - Phone:757-828-5300
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-06-12
Last Update Date:2020-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CPO04068222Z00000X, 224P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224P00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersProsthetist
No222Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOrthotist