Provider Demographics
NPI:1730176306
Name:VANHEMELRIJCK, CHRISTOPHE (MD)
Entity type:Individual
Prefix:DR
First Name:CHRISTOPHE
Middle Name:
Last Name:VANHEMELRIJCK
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:10 DAVOL SQ
Mailing Address - Street 2:SUITE 400
Mailing Address - City:PROVIDENCE
Mailing Address - State:RI
Mailing Address - Zip Code:02903-4754
Mailing Address - Country:US
Mailing Address - Phone:401-421-4000
Mailing Address - Fax:401-272-1456
Practice Address - Street 1:70 KENYON AVE
Practice Address - Street 2:SUITE 321
Practice Address - City:WAKEFIELD
Practice Address - State:RI
Practice Address - Zip Code:02879-4239
Practice Address - Country:US
Practice Address - Phone:401-783-0084
Practice Address - Fax:401-782-0005
Is Sole Proprietor?:No
Enumeration Date:2005-09-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIMD07493207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
RI04-00585OtherUNITED HEALTH CARE
RI27450-2OtherBCBS OF RI
RI410763OtherBLUE CHIP
RI26977OtherNEIGHBORHOOD HEALTH PLAN
RI63-00192OtherUNITED HEALTH CRE
RI12029183OtherMULTIPLAN
RI26625-3OtherBCBS OF RI
RI7004147Medicaid
RI4800946OtherCIGNA
RI763658OtherTUFTS HEALTH PLAN
RI004118OtherBLUE CHIP
RIP00251572OtherRAILRAOD MEDICARE
RID77041Medicare UPIN