Healthcare Provider Details

I. General information

NPI: 1255629044
Provider Name (Legal Business Name): CHRISTIAN POGREBA HIS
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/14/2011
Last Update Date: 06/01/2026
Certification Date: 06/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1534 JEFFERSON HWY
FISHERSVILLE VA
22939-2242
US

IV. Provider business mailing address

1534 JEFFERSON HWY
FISHERSVILLE VA
22939-2242
US

V. Phone/Fax

Practice location:
  • Phone: 540-943-0007
  • Fax: 540-943-6717
Mailing address:
  • Phone: 540-943-0007
  • Fax: 540-943-6717

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code237700000X
TaxonomyHearing Instrument Specialist
License Number2101001498
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: