Provider Demographics
NPI:1780815993
Name:JEFFER, CHRISTINE (DPM)
Entity Type:Individual
Prefix:DR
First Name:CHRISTINE
Middle Name:
Last Name:JEFFER
Suffix:
Gender:F
Credentials:DPM
Other - Prefix:DR
Other - First Name:CHRISTINE
Other - Middle Name:
Other - Last Name:OSBORNE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DPM
Mailing Address - Street 1:9435 WATERSTONE BLVD
Mailing Address - Street 2:SUITE 140
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45249-8226
Mailing Address - Country:US
Mailing Address - Phone:513-899-1203
Mailing Address - Fax:
Practice Address - Street 1:9435 WATERSTONE BLVD
Practice Address - Street 2:SUITE 140
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45249-8226
Practice Address - Country:US
Practice Address - Phone:513-899-1203
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-08-05
Last Update Date:2015-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH36.003319213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
OHPENDINGMedicare UPIN
OHPENDINGMedicaid