Provider Demographics
NPI:1982659694
Name:MYERS, CHRIS S (LMSW)
Entity Type:Individual
Prefix:
First Name:CHRIS
Middle Name:S
Last Name:MYERS
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1000 SILVER CREEK RD
Mailing Address - Street 2:
Mailing Address - City:MARQUETTE
Mailing Address - State:MI
Mailing Address - Zip Code:49855-8948
Mailing Address - Country:US
Mailing Address - Phone:906-249-5437
Mailing Address - Fax:906-249-5438
Practice Address - Street 1:1000 SILVER CREEK RD
Practice Address - Street 2:
Practice Address - City:MARQUETTE
Practice Address - State:MI
Practice Address - Zip Code:49855-8948
Practice Address - Country:US
Practice Address - Phone:906-249-5437
Practice Address - Fax:906-249-5438
Is Sole Proprietor?:No
Enumeration Date:2006-05-23
Last Update Date:2009-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI0P31790Medicare PIN