Provider Demographics
NPI:1912892035
Name:CHRISTMAN, CORINE
Entity type:Individual
Prefix:
First Name:CORINE
Middle Name:
Last Name:CHRISTMAN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:38701 62ND AVE NW
Mailing Address - Street 2:
Mailing Address - City:BERTHOLD
Mailing Address - State:ND
Mailing Address - Zip Code:58718-9108
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:38701 62ND AVE NW
Practice Address - Street 2:
Practice Address - City:BERTHOLD
Practice Address - State:ND
Practice Address - Zip Code:58718-9108
Practice Address - Country:US
Practice Address - Phone:701-833-1899
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-06-10
Last Update Date:2025-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172A00000XOther Service ProvidersDriver