MEDICARE: CHRISTOPHER FERRIS EGGLESTON M.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	2084P0800X	Psychiatry Physician	A81231	CA
2	2084P0804X	Child & Adolescent Psychiatry Physician	A81231	CA

General Provider Information

NPI Number	:	1558335851
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHRISTOPHER FERRIS EGGLESTON M.D.

Provider Business Mailing Address
First Line	:	2000 AINSLEY CT
Second Line	:
City	:	CARMICHAEL
State	:	CA
Zip	:	95608-5701
Country	:	US
Telephone Number	:	916-541-8046
Fax Number	:	916-484-6784

Provider Business Practice Location Address
First Line	:	9343 TECH CENTER DR STE 2000
Second Line	:
City	:	SACRAMENTO
State	:	CA
Zip	:	95826-2563
Country	:	US
Telephone Number	:	916-541-8046
Fax Number	:

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

Provider Enumeration Date	:	02/14/2006
Last Update Date	:	05/12/2024

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