MEDICARE: CHRISTOPHER ALLEN WEBB

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	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1871342683
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHRISTOPHER ALLEN WEBB

Provider Business Mailing Address
First Line	:	400 N WASHINGTON ST STE 103
Second Line	:
City	:	FARMINGTON
State	:	MO
Zip	:	63640-1702
Country	:	US
Telephone Number	:	573-307-1690
Fax Number	:

Provider Business Practice Location Address
First Line	:	400 N WASHINGTON ST STE 103
Second Line	:
City	:	FARMINGTON
State	:	MO
Zip	:	63640-1702
Country	:	US
Telephone Number	:	573-307-1690
Fax Number	:

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

Provider Enumeration Date	:	05/14/2024
Last Update Date	:	05/29/2024

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