Provider Demographics
NPI:1821191131
Name:POSNER, CHRISTINE ELIZABETH (MD)
Entity Type:Individual
Prefix:
First Name:CHRISTINE
Middle Name:ELIZABETH
Last Name:POSNER
Suffix:
Gender:F
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:PO BOX 602373
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28260-2373
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:310 LONG SHOALS ROAD
Practice Address - Street 2:SUITE 110
Practice Address - City:ARDEN
Practice Address - State:NC
Practice Address - Zip Code:28704-0000
Practice Address - Country:US
Practice Address - Phone:828-213-9424
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-09-06
Last Update Date:2014-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC200201511207Q00000X, 207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAFHC71021FMedicaid
CAZZZ23222ZOtherMEDICARE PART B PROVIDER NUMBER
CAHAP71021FOtherFPACT
NC89013JXMedicaid
DEZZZ79046ZOtherMEDICARE PART B PROVIDER NUMBER
CA55-1975OtherFQHC MEDICARE PART A
NC2027649AMedicare UPIN
NC89013JXMedicaid