Healthcare Provider Details

I. General information

NPI: 1821678079
Provider Name (Legal Business Name): CHRISTOPHER JAMES HUFF CO, BOCPO
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/12/2021
Last Update Date: 04/12/2021
Certification Date: 04/12/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1214 GROSSCUP AVE
DUNBAR WV
25064-3024
US

IV. Provider business mailing address

1214 GROSSCUP AVE
DUNBAR WV
25064-3024
US

V. Phone/Fax

Practice location:
  • Phone: 681-265-0017
  • Fax: 681-205-2759
Mailing address:
  • Phone: 681-265-0017
  • Fax: 681-205-2759

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1744P3200X
TaxonomyProsthetics Case Management
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: