Provider Demographics
NPI: | 1487000899 |
---|---|
Name: | JAMES W. CHRISTOPHER, MD, LLC |
Entity Type: | Organization |
Organization Name: | JAMES W. CHRISTOPHER, MD, LLC |
Other - Org Name: | |
Other - Org Type: | |
Authorized Official - Title/Position: | OWNER / MD |
Authorized Official - Prefix: | DR |
Authorized Official - First Name: | JAMES |
Authorized Official - Middle Name: | W |
Authorized Official - Last Name: | CHRISTOPHER |
Authorized Official - Suffix: | |
Authorized Official - Credentials: | MD |
Authorized Official - Phone: | 985-635-0074 |
Mailing Address - Street 1: | 7015 HIGHWAY 190 EAST SERVICE RD |
Mailing Address - Street 2: | STE. 102 |
Mailing Address - City: | COVINGTON |
Mailing Address - State: | LA |
Mailing Address - Zip Code: | 70433-4960 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 985-635-0074 |
Mailing Address - Fax: | 985-893-9594 |
Practice Address - Street 1: | 7015 HIGHWAY 190 EAST SERVICE RD |
Practice Address - Street 2: | STE. 102 |
Practice Address - City: | COVINGTON |
Practice Address - State: | LA |
Practice Address - Zip Code: | 70433-4960 |
Practice Address - Country: | US |
Practice Address - Phone: | 985-635-0074 |
Practice Address - Fax: | 985-893-9594 |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | No |
Parent Organization LBN: | |
Parent Organization TIN: | |
Enumeration Date: | 2016-05-05 |
Last Update Date: | 2016-05-05 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization | Group |
---|---|---|---|---|---|
Yes | 208600000X | Allopathic & Osteopathic Physicians | Surgery | Group - Single Specialty |