MEDICARE: DR. CHRISTINE CURTIS PH.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	170100000X	Ph.D. Medical Genetics		OH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1043206691
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CHRISTINE CURTIS PH.D.

Provider Business Mailing Address
First Line	:	PO BOX 74591
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44194-0674
Country	:	US
Telephone Number	:	216-464-5160
Fax Number	:	216-464-5982

Provider Business Practice Location Address
First Line	:	10524 EUCLID AVE
Second Line	:	6TH FLOOR
City	:	CLEVELAND
State	:	OH
Zip	:	44106-2205
Country	:	US
Telephone Number	:	216-983-1132
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/20/2005
Last Update Date	:	01/18/2008

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