Healthcare Provider Details

I. General information

NPI: 1437151024
Provider Name (Legal Business Name): CHRISTOPHER SIMPSON DO
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/12/2005
Last Update Date: 07/10/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

265 W UNION ST SUITE B
ATHENS OH
45701
US

IV. Provider business mailing address

265 W UNION ST SUITE B
ATHENS OH
45701-2313
US

V. Phone/Fax

Practice location:
  • Phone: 740-594-2456
  • Fax: 740-594-9630
Mailing address:
  • Phone: 740-594-2456
  • Fax: 740-594-9630

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number34-0059835
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: