Provider Demographics
NPI:1730466509
Name:HASTREITER, CHRISTOPHER P
Entity Type:Individual
Prefix:
First Name:CHRISTOPHER
Middle Name:P
Last Name:HASTREITER
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 1:7810 MINERAL POINT RD
Mailing Address - Street 2:
Mailing Address - City:MADISON
Mailing Address - State:WI
Mailing Address - Zip Code:53717-2088
Mailing Address - Country:US
Mailing Address - Phone:608-833-1222
Mailing Address - Fax:608-829-3783
Practice Address - Street 1:7810 MINERAL POINT RD
Practice Address - Street 2:
Practice Address - City:MADISON
Practice Address - State:WI
Practice Address - Zip Code:53717-2088
Practice Address - Country:US
Practice Address - Phone:608-833-1222
Practice Address - Fax:608-829-3783
Is Sole Proprietor?:No
Enumeration Date:2011-11-08
Last Update Date:2011-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI11960-40183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist