Provider Demographics
NPI:1952368730
Name:GEHRLEIN, CHRISTOPHER (DO)
Entity Type:Individual
Prefix:
First Name:CHRISTOPHER
Middle Name:
Last Name:GEHRLEIN
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2360 HOSPITAL DR
Mailing Address - Street 2:
Mailing Address - City:ALIQUIPPA
Mailing Address - State:PA
Mailing Address - Zip Code:15001-2160
Mailing Address - Country:US
Mailing Address - Phone:724-378-0830
Mailing Address - Fax:724-770-7951
Practice Address - Street 1:2360 HOSPITAL DR
Practice Address - Street 2:
Practice Address - City:ALIQUIPPA
Practice Address - State:PA
Practice Address - Zip Code:15001-2160
Practice Address - Country:US
Practice Address - Phone:724-378-0830
Practice Address - Fax:724-770-7951
Is Sole Proprietor?:No
Enumeration Date:2006-04-27
Last Update Date:2015-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOS012776207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1012613630001Medicaid
PA1751982OtherBLUE SHIELD
PA410801OtherUPMC
OH2563622Medicaid
P00259622Medicare PIN
PA1751982OtherBLUE SHIELD
PA090908SXMMedicare PIN
PA090908H51Medicare PIN
P00233338Medicare PIN