Provider Demographics
NPI:1942089313
Name:SCALF, CHRISTIAN M
Entity Type:Individual
Prefix:MR
First Name:CHRISTIAN
Middle Name:M
Last Name:SCALF
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 1:1006 S MAIN ST STE 2
Mailing Address - Street 2:
Mailing Address - City:CHEBOYGAN
Mailing Address - State:MI
Mailing Address - Zip Code:49721-2200
Mailing Address - Country:US
Mailing Address - Phone:231-627-9979
Mailing Address - Fax:
Practice Address - Street 1:1006 S MAIN ST STE 2
Practice Address - Street 2:
Practice Address - City:CHEBOYGAN
Practice Address - State:MI
Practice Address - Zip Code:49721-2200
Practice Address - Country:US
Practice Address - Phone:231-627-9979
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-09-26
Last Update Date:2023-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI3502013224237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist