Provider Demographics
NPI:1598007635
Name:NAEYAERT, CHRISTOPHER PETER CAWILE
Entity Type:Individual
Prefix:MR
First Name:CHRISTOPHER
Middle Name:PETER CAWILE
Last Name:NAEYAERT
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:961 OAKHORNE DR
Mailing Address - Street 2:
Mailing Address - City:HARBOR CITY
Mailing Address - State:CA
Mailing Address - Zip Code:90710-1523
Mailing Address - Country:US
Mailing Address - Phone:310-622-5013
Mailing Address - Fax:
Practice Address - Street 1:961 OAKHORNE DR
Practice Address - Street 2:
Practice Address - City:HARBOR CITY
Practice Address - State:CA
Practice Address - Zip Code:90710-1523
Practice Address - Country:US
Practice Address - Phone:310-622-5013
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-03-26
Last Update Date:2013-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1710I1002XOther Service ProvidersMilitary Health Care ProviderIndependent Duty Corpsman