Provider Demographics
NPI:1558564039
Name:CHRISTOPHER R AMATO
Entity Type:Organization
Organization Name:CHRISTOPHER R AMATO
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BILLING AGENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:KELLY
Authorized Official - Middle Name:A
Authorized Official - Last Name:BACKENTSTOE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:610-751-1289
Mailing Address - Street 1:2502 SCHOENERSVILLE ROAD
Mailing Address - Street 2:
Mailing Address - City:BETHLEHEM
Mailing Address - State:PA
Mailing Address - Zip Code:18017
Mailing Address - Country:US
Mailing Address - Phone:610-882-2400
Mailing Address - Fax:
Practice Address - Street 1:2502 SCHOENERSVILLE ROAD
Practice Address - Street 2:
Practice Address - City:BETHLEHEM
Practice Address - State:PA
Practice Address - Zip Code:18017
Practice Address - Country:US
Practice Address - Phone:610-882-2400
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-11
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC006650L111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA02926800OtherAMERICAN HEALTH SPEC NET
PA2775825000OtherIND BLUE CROSS PC
PW828200OtherHIGHMARK
PA02926800OtherCAPITAL BLUE CROSS
PW828200OtherHIGHMARK