Provider Demographics
NPI:1841384070
Name:HINDELANG, CHRISTOPHER JON (PA-C)
Entity type:Individual
Prefix:MR
First Name:CHRISTOPHER
Middle Name:JON
Last Name:HINDELANG
Suffix:
Gender:M
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:121 TIVOLI ST
Mailing Address - Street 2:
Mailing Address - City:ABBEVILLE
Mailing Address - State:LA
Mailing Address - Zip Code:70510-5150
Mailing Address - Country:US
Mailing Address - Phone:337-893-0788
Mailing Address - Fax:
Practice Address - Street 1:121 TIVOLI ST
Practice Address - Street 2:
Practice Address - City:ABBEVILLE
Practice Address - State:LA
Practice Address - Zip Code:70510-5150
Practice Address - Country:US
Practice Address - Phone:337-893-0788
Practice Address - Fax:337-893-0787
Is Sole Proprietor?:No
Enumeration Date:2006-10-03
Last Update Date:2008-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LAPA.200113363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA5CV81P892Medicare PIN