Provider Demographics
NPI:1942299243
Name:CONSIDINE, CHRISTOPHER J (DPM)
Entity Type:Individual
Prefix:
First Name:CHRISTOPHER
Middle Name:J
Last Name:CONSIDINE
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:927 W 4TH ST
Mailing Address - Street 2:
Mailing Address - City:WATERLOO
Mailing Address - State:IA
Mailing Address - Zip Code:50702-2801
Mailing Address - Country:US
Mailing Address - Phone:319-233-6107
Mailing Address - Fax:319-233-9138
Practice Address - Street 1:927 W 4TH ST
Practice Address - Street 2:
Practice Address - City:WATERLOO
Practice Address - State:IA
Practice Address - Zip Code:50702-2801
Practice Address - Country:US
Practice Address - Phone:319-233-6107
Practice Address - Fax:319-233-9138
Is Sole Proprietor?:No
Enumeration Date:2005-10-19
Last Update Date:2009-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA00728213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA1211466Medicaid
IA4866700001Medicare NSC
IAI8271Medicare PIN
IAI9119Medicare PIN
IA1211466Medicaid