Provider Demographics
NPI:1750811501
Name:HAMBRE, CHRISTOPHER JR
Entity type:Individual
Prefix:
First Name:CHRISTOPHER
Middle Name:
Last Name:HAMBRE
Suffix:JR
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 1:546 CHELSEA DR
Mailing Address - Street 2:
Mailing Address - City:HENDERSON
Mailing Address - State:NV
Mailing Address - Zip Code:89014-3909
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:USS SIROCCO PC 6
Practice Address - Street 2:UNIT 100287 FPO AE
Practice Address - City:MANAMA
Practice Address - State:KINGDOM ON BAHRAIN
Practice Address - Zip Code:69287
Practice Address - Country:BH
Practice Address - Phone:760-586-6278
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-06-14
Last Update Date:2017-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1710I1002XOther Service ProvidersMilitary Health Care ProviderIndependent Duty Corpsman
Provider Identifiers
StateIdentifier IDID TypeIssuer
NV1702650672OtherUS NAVY