Healthcare Provider Details

I. General information

NPI: 1770645657
Provider Name (Legal Business Name): CHRISTOPHER LEE BARNEY HS3
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/15/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4000 COAST GUARD BLVD
PORTSMOUTH VA
23703-2135
US

IV. Provider business mailing address

32 CEDARWOOD WAY APT I
NEWPORT NEWS VA
23608-4581
US

V. Phone/Fax

Practice location:
  • Phone: 757-483-8596
  • Fax:
Mailing address:
  • Phone: 804-815-7782
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code374700000X
TaxonomyTechnician
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: