Healthcare Provider Details

I. General information

NPI: 1386407716
Provider Name (Legal Business Name): CHRISTOPHER FINK SWT
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/30/2024
Last Update Date: 04/23/2026
Certification Date: 04/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

90 ARLENE AVE
BOARDMAN OH
44512-2901
US

IV. Provider business mailing address

90 ARLENE AVE
BOARDMAN OH
44512-2901
US

V. Phone/Fax

Practice location:
  • Phone: 330-397-3815
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License NumberS2604966-TRNE
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: