Provider Demographics
NPI:1679561815
Name:PARIS, CHRISTOPHER L (MD)
Entity Type:Individual
Prefix:DR
First Name:CHRISTOPHER
Middle Name:L
Last Name:PARIS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2820 CENTRAL AVENUE
Mailing Address - Street 2:UNIT B
Mailing Address - City:BILLINGS
Mailing Address - State:MT
Mailing Address - Zip Code:59102-4651
Mailing Address - Country:US
Mailing Address - Phone:406-256-1405
Mailing Address - Fax:406-256-1406
Practice Address - Street 1:2820 CENTRAL AVENUE
Practice Address - Street 2:UNIT B
Practice Address - City:BILLINGS
Practice Address - State:MT
Practice Address - Zip Code:59102-4651
Practice Address - Country:US
Practice Address - Phone:406-256-1405
Practice Address - Fax:406-256-1406
Is Sole Proprietor?:Yes
Enumeration Date:2005-10-12
Last Update Date:2010-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT7108174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MT0115895Medicaid
D79783Medicare UPIN