Provider Demographics
NPI:1558355867
Name:BROWN, CHRISTINA K (MD)
Entity Type:Individual
Prefix:
First Name:CHRISTINA
Middle Name:K
Last Name:BROWN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:CHRISTINA
Other - Middle Name:C
Other - Last Name:KNAUSS-BROWN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:104 E 2ND ST
Mailing Address - Street 2:3RD FLOOR
Mailing Address - City:ERIE
Mailing Address - State:PA
Mailing Address - Zip Code:16507-1532
Mailing Address - Country:US
Mailing Address - Phone:814-456-2229
Mailing Address - Fax:814-455-8635
Practice Address - Street 1:104 E 2ND ST
Practice Address - Street 2:3RD FLOOR
Practice Address - City:ERIE
Practice Address - State:PA
Practice Address - Zip Code:16507-1532
Practice Address - Country:US
Practice Address - Phone:814-456-2229
Practice Address - Fax:814-455-8635
Is Sole Proprietor?:No
Enumeration Date:2005-09-01
Last Update Date:2009-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD070861L207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA01796630Medicaid
PAH14947Medicare UPIN
PA01796630Medicaid