Provider Demographics
NPI:1952656019
Name:MCCONNELL, CHRISTOPHER CARL (PA-C, MSPAS, MPH)
Entity Type:Individual
Prefix:
First Name:CHRISTOPHER
Middle Name:CARL
Last Name:MCCONNELL
Suffix:
Gender:M
Credentials:PA-C, MSPAS, MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:UCSB STUDENT HEALTH BUILDING 588 M C 7002
Mailing Address - Street 2:
Mailing Address - City:SANTA BARBARA
Mailing Address - State:CA
Mailing Address - Zip Code:93106-0001
Mailing Address - Country:US
Mailing Address - Phone:805-893-4084
Mailing Address - Fax:
Practice Address - Street 1:UCSB STUDENT HEALTH BUILDING 588 M C 7002
Practice Address - Street 2:
Practice Address - City:SANTA BARBARA
Practice Address - State:CA
Practice Address - Zip Code:93106-0001
Practice Address - Country:US
Practice Address - Phone:805-893-4084
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-07-16
Last Update Date:2022-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPA22393363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant