Provider Demographics
NPI:1649599770
Name:MABE, CHRIS (BHRS)
Entity Type:Individual
Prefix:MR
First Name:CHRIS
Middle Name:
Last Name:MABE
Suffix:
Gender:M
Credentials:BHRS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2024 W BROADWAY ST
Mailing Address - Street 2:
Mailing Address - City:MUSKOGEE
Mailing Address - State:OK
Mailing Address - Zip Code:74401-2758
Mailing Address - Country:US
Mailing Address - Phone:918-682-9292
Mailing Address - Fax:
Practice Address - Street 1:2024 W BROADWAY ST
Practice Address - Street 2:
Practice Address - City:MUSKOGEE
Practice Address - State:OK
Practice Address - Zip Code:74401-2758
Practice Address - Country:US
Practice Address - Phone:918-682-9292
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-05-28
Last Update Date:2010-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator