Provider Demographics
NPI:1831173897
Name:WEIKERT, CHRISTINE ELIZABETH (DPM)
Entity type:Individual
Prefix:DR
First Name:CHRISTINE
Middle Name:ELIZABETH
Last Name:WEIKERT
Suffix:
Gender:F
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1333 S ALLEN ST
Mailing Address - Street 2:SUITE 4
Mailing Address - City:STATE COLLEGE
Mailing Address - State:PA
Mailing Address - Zip Code:16801-5944
Mailing Address - Country:US
Mailing Address - Phone:814-231-0451
Mailing Address - Fax:814-231-1817
Practice Address - Street 1:1333 S ALLEN ST
Practice Address - Street 2:SUITE 4
Practice Address - City:STATE COLLEGE
Practice Address - State:PA
Practice Address - Zip Code:16801-5944
Practice Address - Country:US
Practice Address - Phone:814-231-0451
Practice Address - Fax:814-231-1817
Is Sole Proprietor?:Yes
Enumeration Date:2005-12-02
Last Update Date:2011-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASC004314L213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0641728OtherKEYSTONE H PLAN CENTRAL
PA0017462270005Medicaid
PA52041OtherGEISINGER PROV NO
PA01994501OtherCAPITAL BLUE CROSS
PAWE641728OtherHIGHMARK
PA000000094377OtherTHREE RIVERS PROV NO
PA130727OtherHEALTH AMERICA PROV NO
PA206690OtherUPMC PROV NO
PA480031519OtherMEDICARE RAILROAD
PA0641728OtherKEYSTONE H PLAN CENTRAL
PA002213TB6Medicare ID - Type UnspecifiedMEDICARE INDIVIDUAL NO