Provider Demographics
NPI:1255147427
Name:STEVENSON, CHRISTIAN HASSANI
Entity type:Individual
Prefix:MR
First Name:CHRISTIAN
Middle Name:HASSANI
Last Name:STEVENSON
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 1:3049 CASPER AVE
Mailing Address - Street 2:
Mailing Address - City:HILLIARD
Mailing Address - State:OH
Mailing Address - Zip Code:43026-9212
Mailing Address - Country:US
Mailing Address - Phone:614-817-6898
Mailing Address - Fax:
Practice Address - Street 1:3049 CASPER AVE
Practice Address - Street 2:
Practice Address - City:HILLIARD
Practice Address - State:OH
Practice Address - Zip Code:43026-9212
Practice Address - Country:US
Practice Address - Phone:614-817-6898
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-12-03
Last Update Date:2024-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator