MEDICARE: CHRISTOPHER HUTCHISON

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	172V00000X	Community Health Worker	2326751	DC

General Provider Information

NPI Number	:	1104352103
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHRISTOPHER HUTCHISON

Provider Business Mailing Address
First Line	:	1523 WHITE PLACE SE
Second Line	:
City	:	WASHINGTON
State	:	DC
Zip	:	20020-5334
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1523 WHITE PLACE SE
Second Line	:
City	:	WASHINGTON
State	:	DC
Zip	:	20020-5334
Country	:	US
Telephone Number	:	202-285-4681
Fax Number	:

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

Provider Enumeration Date	:	05/11/2017
Last Update Date	:	05/11/2017

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Directions to “ CHRISTOPHER HUTCHISON ” Practice Location

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