Provider Demographics
NPI:1689620940
Name:CHRISTINASKALE, MD/INTERNACARE,LLC
Entity Type:Organization
Organization Name:CHRISTINASKALE, MD/INTERNACARE,LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SOLE PROPRIETOR
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTINA
Authorized Official - Middle Name:
Authorized Official - Last Name:SKALE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:314-373-2504
Mailing Address - Street 1:226 S WOODS MILL RD
Mailing Address - Street 2:SUITE 56W
Mailing Address - City:CHESTERFIELD
Mailing Address - State:MO
Mailing Address - Zip Code:63017-3662
Mailing Address - Country:US
Mailing Address - Phone:314-373-2501
Mailing Address - Fax:314-373-2508
Practice Address - Street 1:226 S WOODS MILL RD
Practice Address - Street 2:SUITE 56W
Practice Address - City:CHESTERFIELD
Practice Address - State:MO
Practice Address - Zip Code:63017-3662
Practice Address - Country:US
Practice Address - Phone:314-373-2501
Practice Address - Fax:314-373-2508
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-26
Last Update Date:2024-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty