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NPI Code Detail

MEDICARE: RICHARD E CHRISTIE MD

MEDICARE: RICHARD E CHRISTIE MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207R00000XInternal Medicine Physician35026149OH

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2080051598OTHEROHRR MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1508855099
Entity Type Code : Individual
Provider Name (Legal Business Name) : RICHARD E CHRISTIE MD
Provider Business Mailing Address
First Line : 17876 SAINT CLAIR AVE
Second Line :
City : CLEVELAND
State : OH
Zip : 44110-2602
Country : US
Telephone Number : 216-383-2222
Fax Number : 216-298-0241
Provider Business Practice Location Address
First Line : 17876 SAINT CLAIR AVE
Second Line :
City : CLEVELAND
State : OH
Zip : 44110-2602
Country : US
Telephone Number : 216-383-2222
Fax Number : 216-298-0241
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/18/2005
Last Update Date : 07/16/2019

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Directions to “ RICHARD E CHRISTIE MD” Practice Location

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