Healthcare Provider Details

I. General information

NPI: 1841264942
Provider Name (Legal Business Name): WILLIAM CHRISTOPHER WINTER MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/15/2006
Last Update Date: 10/09/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1410 ROLKIN CT SUITE 101
CHARLOTTESVILLE VA
22911-3574
US

IV. Provider business mailing address

PO BOX 1583
CHARLOTTESVILLE VA
22902-1583
US

V. Phone/Fax

Practice location:
  • Phone: 434-293-9149
  • Fax: 434-293-9140
Mailing address:
  • Phone: 434-654-7794
  • Fax: 434-654-7752

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2084N0400X
TaxonomyNeurology Physician
License Number0101230577
License Number StateVA
# 2
Primary TaxonomyY
Taxonomy Code2084S0012X
TaxonomySleep Medicine (Psychiatry & Neurology) Physician
License Number0101230577
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: