Healthcare Provider Details

I. General information

NPI: 1013989755
Provider Name (Legal Business Name): CHRISTOPHER ROBERT ZINN ME.D, ATC
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/06/2006
Last Update Date: 09/16/2021
Certification Date: 09/16/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8102 LA SALLE RD
BALTIMORE MD
21286-8022
US

IV. Provider business mailing address

186 GLEN VIEW TER
ABINGDON MD
21009-3111
US

V. Phone/Fax

Practice location:
  • Phone: 410-825-4266
  • Fax:
Mailing address:
  • Phone: 410-569-9601
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2255A2300X
TaxonomyAthletic Trainer
License NumberA0000265
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: