Christopher Andersen
Individual provider Active NPI Independent Duty Medical Technicians · Vacaville, CA
NPI 1558911024 · NPPES record last updated Sep 17, 2019
Key facts
- NPI
- 1558911024
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Independent Duty Medical Technicians 1710I1003X
- Practice address
- 1000 Allison Dr Apt 183
Vacaville, CA 95687-4988 - Phone
- (727) 859-2855
- NPI assigned
- Sep 17, 2019
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Independent Duty Medical Technicians | 1710I1003X | Yes |
Addresses
Primary practice location
1000 Allison Dr Apt 183
Vacaville, CA 95687-4988
Mailing address
101 Bodin Cir
Travis Afb, CA 94535-1809
Other providers in Vacaville, CA
- Mina An
- Karuna Anand
- Cassidy Anaya
- Anchor Strategic Management LLC
- Russelle Alcantara Andaya
- Andre' Anderson
- Ann Anderson
- Brianna Anderson
- Kevin Anderson
- Ryan Matthew Anderson
All providers in Vacaville, CA · Independent Duty Medical Technicians in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 17, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.