Provider Demographics
NPI:1700996584
Name:LENGEL, CHRISTOPHER
Entity Type:Individual
Prefix:
First Name:CHRISTOPHER
Middle Name:
Last Name:LENGEL
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 1:3401 BOSTON ST
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21224-4981
Mailing Address - Country:US
Mailing Address - Phone:410-522-2177
Mailing Address - Fax:410-522-2178
Practice Address - Street 1:3401 BOSTON ST
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21224-4981
Practice Address - Country:US
Practice Address - Phone:410-522-2177
Practice Address - Fax:410-522-2178
Is Sole Proprietor?:No
Enumeration Date:2006-08-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD19813225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD378822OtherMAMSI
MD604787-02OtherBCBS/MD
MD7416479OtherCIGNA
MD215675OtherKAISER
MD2341840OtherAETNA
MD68241OtherPRUDENTIAL
MD80705OtherGREAT WEST 1 HEALTH PALN
MD33752OtherIWIF
MD47610071OtherBCBS/DC
MD2341840OtherAETNA