Provider Demographics
NPI:1811274699
Name:CHRISTOPHER E. GEERTZ, MD LLC
Entity type:Organization
Organization Name:CHRISTOPHER E. GEERTZ, MD LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:E
Authorized Official - Last Name:GEERTZ
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:850-319-6205
Mailing Address - Street 1:6880 W SNOWVILLE RD
Mailing Address - Street 2:#210
Mailing Address - City:BRECKSVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:44141-3254
Mailing Address - Country:US
Mailing Address - Phone:800-579-7777
Mailing Address - Fax:
Practice Address - Street 1:1501 TATE BLVD SE
Practice Address - Street 2:STE 105
Practice Address - City:HICKORY
Practice Address - State:NC
Practice Address - Zip Code:28602-1384
Practice Address - Country:US
Practice Address - Phone:850-319-6205
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-11-08
Last Update Date:2011-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2010-016192083P0011X, 207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency MedicineGroup - Multi-Specialty
No2083P0011XAllopathic & Osteopathic PhysiciansPreventive MedicineUndersea and Hyperbaric MedicineGroup - Multi-Specialty