Healthcare Provider Details

I. General information

NPI: 1790275048
Provider Name (Legal Business Name): CHRISTOPHER ALAN INGERSOL MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/12/2018
Last Update Date: 08/08/2025
Certification Date: 08/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

555 N ARLINGTON AVE
RENO NV
89503-4723
US

IV. Provider business mailing address

555 N ARLINGTON AVE
RENO NV
89503-4724
US

V. Phone/Fax

Practice location:
  • Phone: 775-786-3040
  • Fax: 775-788-5209
Mailing address:
  • Phone: 775-786-3040
  • Fax: 775-786-1887

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208200000X
TaxonomyPlastic Surgery Physician
License Number27586
License Number StateNV
# 2
Primary TaxonomyY
Taxonomy Code2082S0105X
TaxonomySurgery of the Hand (Plastic Surgery) Physician
License Number27586
License Number StateNV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: