Provider Demographics
NPI:1972787323
Name:GIESTING, CHRISTINE M (COF)
Entity Type:Individual
Prefix:MRS
First Name:CHRISTINE
Middle Name:M
Last Name:GIESTING
Suffix:
Gender:F
Credentials:COF
Other - Prefix:MS
Other - First Name:CHRISTINE
Other - Middle Name:M
Other - Last Name:GIESTING
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:COF
Mailing Address - Street 1:560 SUNBURY RD
Mailing Address - Street 2:SUITE #10
Mailing Address - City:DELAWARE
Mailing Address - State:OH
Mailing Address - Zip Code:43015-8692
Mailing Address - Country:US
Mailing Address - Phone:740-362-3100
Mailing Address - Fax:740-362-3100
Practice Address - Street 1:560 SUNBURY RD
Practice Address - Street 2:SUITE #10
Practice Address - City:DELAWARE
Practice Address - State:OH
Practice Address - Zip Code:43015-8692
Practice Address - Country:US
Practice Address - Phone:740-362-3100
Practice Address - Fax:740-362-3100
Is Sole Proprietor?:Yes
Enumeration Date:2007-12-20
Last Update Date:2012-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225000000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOrthotic Fitter
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH6100010001OtherMEDICARE PTAN
OH2881636Medicaid