MEDICARE: DR. CHRISTOPHER LINSKEY 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	22673	AZ

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
3	260051392	OTHER	AZ	MEDICARE RAILROAD

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
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	AZ0361920	OTHER	AZ	BLUE CROSS

General Provider Information

NPI Number	:	1790775757
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CHRISTOPHER LINSKEY M.D.

Provider Business Mailing Address
First Line	:	P.O. BOX 790
Second Line	:
City	:	PAGE
State	:	AZ
Zip	:	86040-0790
Country	:	US
Telephone Number	:	928-645-5113
Fax Number	:	928-645-3254

Provider Business Practice Location Address
First Line	:	463 S. LAKE POWELL BLVD.
Second Line	:
City	:	PAGE
State	:	AZ
Zip	:	86040-0796
Country	:	US
Telephone Number	:	928-645-5113
Fax Number	:	928-645-3254

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

Provider Enumeration Date	:	10/21/2005
Last Update Date	:	07/11/2012

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Directions to “ DR. CHRISTOPHER LINSKEY M.D.” Practice Location

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