Provider Demographics
NPI:1629583315
Name:HALL, CHRISTROPHER
Entity Type:Individual
Prefix:MR
First Name:CHRISTROPHER
Middle Name:
Last Name:HALL
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 1:6010 MEADOWRIDGE CENTER DR STE E
Mailing Address - Street 2:
Mailing Address - City:ELKRIDGE
Mailing Address - State:MD
Mailing Address - Zip Code:21075-6089
Mailing Address - Country:US
Mailing Address - Phone:240-832-9582
Mailing Address - Fax:
Practice Address - Street 1:6010 MEADOWRIDGE CENTER DR STE E
Practice Address - Street 2:
Practice Address - City:ELKRIDGE
Practice Address - State:MD
Practice Address - Zip Code:21075-6089
Practice Address - Country:US
Practice Address - Phone:240-832-9582
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-12-04
Last Update Date:2017-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1744P3200XOther Service ProvidersSpecialistProsthetics Case Management