Provider Demographics
NPI:1578665063
Name:HUME, CHRISTOPHER SHANE (DO)
Entity Type:Individual
Prefix:DR
First Name:CHRISTOPHER
Middle Name:SHANE
Last Name:HUME
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
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Mailing Address - Street 1:3115 SW 89TH ST
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73159-7901
Mailing Address - Country:US
Mailing Address - Phone:405-427-3705
Mailing Address - Fax:405-427-3738
Practice Address - Street 1:3115 SW 89TH ST
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73159-7901
Practice Address - Country:US
Practice Address - Phone:405-427-3705
Practice Address - Fax:405-427-3738
Is Sole Proprietor?:No
Enumeration Date:2006-09-04
Last Update Date:2018-02-13
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
OK4199207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
8L14671Medicare PIN