Provider Demographics
NPI:1437883055
Name:SCHOELLKOPF, CHRISTINA GORDON (MED)
Entity Type:Individual
Prefix:
First Name:CHRISTINA
Middle Name:GORDON
Last Name:SCHOELLKOPF
Suffix:
Gender:F
Credentials:MED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15 JAMES ST
Mailing Address - Street 2:
Mailing Address - City:GREENFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:01301-3607
Mailing Address - Country:US
Mailing Address - Phone:978-505-9578
Mailing Address - Fax:
Practice Address - Street 1:108 N MAIN ST STE A
Practice Address - Street 2:
Practice Address - City:SUNDERLAND
Practice Address - State:MA
Practice Address - Zip Code:01375-5913
Practice Address - Country:US
Practice Address - Phone:413-665-8717
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-07-11
Last Update Date:2022-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172V00000XOther Service ProvidersCommunity Health Worker