Healthcare Provider Details

I. General information

NPI: 1437885688
Provider Name (Legal Business Name): CHRISTINE BYE
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/29/2022
Last Update Date: 07/29/2022
Certification Date: 07/29/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8959 RIVERVIEW BLVD
SAINT LOUIS MO
63147-1475
US

IV. Provider business mailing address

516 MAY VALLEY DR APT J
FENTON MO
63026-3891
US

V. Phone/Fax

Practice location:
  • Phone: 314-867-0634
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: