Provider Demographics
NPI:1801810247
Name:DANKMYER, CHRISTIOPHER CHARLES (MD)
Entity type:Individual
Prefix:DR
First Name:CHRISTIOPHER
Middle Name:CHARLES
Last Name:DANKMYER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1603 E HIGH ST
Mailing Address - Street 2:SUITE A
Mailing Address - City:POTTSTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:19464-5061
Mailing Address - Country:US
Mailing Address - Phone:610-970-4700
Mailing Address - Fax:610-970-5635
Practice Address - Street 1:1603 E HIGH ST
Practice Address - Street 2:SUITE A
Practice Address - City:POTTSTOWN
Practice Address - State:PA
Practice Address - Zip Code:19464-5061
Practice Address - Country:US
Practice Address - Phone:610-970-4700
Practice Address - Fax:610-970-5635
Is Sole Proprietor?:No
Enumeration Date:2006-07-27
Last Update Date:2014-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD041707L2081P2900X, 208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation
No2081P2900XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationPain Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0016133830005Medicaid
PA0016133830005Medicaid
PA003771MWAMedicare PIN