Provider Demographics
NPI:1558754929
Name:MEADOWS, CHRISTOPHER (HCP)
Entity Type:Individual
Prefix:
First Name:CHRISTOPHER
Middle Name:
Last Name:MEADOWS
Suffix:
Gender:M
Credentials:HCP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:108 S 4TH ST
Mailing Address - Street 2:
Mailing Address - City:MARIETTA
Mailing Address - State:OH
Mailing Address - Zip Code:45750-3208
Mailing Address - Country:US
Mailing Address - Phone:740-374-4422
Mailing Address - Fax:513-332-9247
Practice Address - Street 1:108 S 4TH ST
Practice Address - Street 2:
Practice Address - City:MARIETTA
Practice Address - State:OH
Practice Address - Zip Code:45750-3208
Practice Address - Country:US
Practice Address - Phone:740-374-4422
Practice Address - Fax:513-332-9247
Is Sole Proprietor?:No
Enumeration Date:2015-03-10
Last Update Date:2015-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV1040237700000X
OH10984237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist