Provider Demographics
NPI:1831283274
Name:HANS W. CHRISTOPH INC.
Entity Type:Organization
Organization Name:HANS W. CHRISTOPH INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:BLAKE
Authorized Official - Middle Name:M
Authorized Official - Last Name:CHRISTOPH
Authorized Official - Suffix:
Authorized Official - Credentials:CPO
Authorized Official - Phone:215-886-3620
Mailing Address - Street 1:801 OLD YORK ROAD
Mailing Address - Street 2:SUITE 315
Mailing Address - City:JENKINTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:19046
Mailing Address - Country:US
Mailing Address - Phone:215-886-3620
Mailing Address - Fax:215-886-0186
Practice Address - Street 1:801 OLD YORK ROAD
Practice Address - Street 2:SUITE 315
Practice Address - City:JENKINTOWN
Practice Address - State:PA
Practice Address - Zip Code:19046
Practice Address - Country:US
Practice Address - Phone:215-886-3620
Practice Address - Fax:215-886-0186
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-02
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335E00000XSuppliersProsthetic/Orthotic Supplier
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0002587000OtherKEYSTONE HEALTH PLAN EAST
PW3910OtherAETNA
PA282753OtherPENNSYLVANIA BLUE SHIELD
PA0002587000OtherPERSONAL CHOICE
PA0561550Medicaid
NJ3486303Medicaid
PA282753OtherPENNSYLVANIA BLUE SHIELD