Provider Demographics
NPI:1265402499
Name:RANNEY, CHRISTOPHER BEHR (MD)
Entity type:Individual
Prefix:DR
First Name:CHRISTOPHER
Middle Name:BEHR
Last Name:RANNEY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:128 E. MILLTOWN RD
Mailing Address - Street 2:SUITE 105
Mailing Address - City:WOOSTER
Mailing Address - State:OH
Mailing Address - Zip Code:44691
Mailing Address - Country:US
Mailing Address - Phone:330-345-8060
Mailing Address - Fax:330-345-5983
Practice Address - Street 1:128 E. MILLTOWN RD
Practice Address - Street 2:SUITE 105
Practice Address - City:WOOSTER
Practice Address - State:OH
Practice Address - Zip Code:44691
Practice Address - Country:US
Practice Address - Phone:330-345-8060
Practice Address - Fax:330-345-5983
Is Sole Proprietor?:Yes
Enumeration Date:2006-01-23
Last Update Date:2023-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35-088060207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2670515Medicaid
OH2670515Medicaid
OHRA4211951Medicare PIN