Provider Demographics
NPI: | 1730878646 |
---|---|
Name: | CHRISTOPHER J. INSERRA, M.D., P.C. |
Entity type: | Organization |
Organization Name: | CHRISTOPHER J. INSERRA, M.D., P.C. |
Other - Org Name: | |
Other - Org Type: | |
Authorized Official - Title/Position: | RHEUMATOLOGIST |
Authorized Official - Prefix: | |
Authorized Official - First Name: | CHRISTOPHER |
Authorized Official - Middle Name: | JAMES |
Authorized Official - Last Name: | INSERRA |
Authorized Official - Suffix: | |
Authorized Official - Credentials: | MD |
Authorized Official - Phone: | 914-806-7023 |
Mailing Address - Street 1: | 595 CHAPEL HILLS DR STE 201 |
Mailing Address - Street 2: | |
Mailing Address - City: | COLORADO SPRINGS |
Mailing Address - State: | CO |
Mailing Address - Zip Code: | 80920-1056 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 719-475-9613 |
Mailing Address - Fax: | |
Practice Address - Street 1: | 595 CHAPEL HILLS DR STE 201 |
Practice Address - Street 2: | |
Practice Address - City: | COLORADO SPRINGS |
Practice Address - State: | CO |
Practice Address - Zip Code: | 80920-1056 |
Practice Address - Country: | US |
Practice Address - Phone: | 719-475-9613 |
Practice Address - Fax: | |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | No |
Parent Organization LBN: | |
Parent Organization TIN: | |
Enumeration Date: | 2023-05-05 |
Last Update Date: | 2023-05-05 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization | Group |
---|---|---|---|---|---|
Yes | 207RR0500X | Allopathic & Osteopathic Physicians | Internal Medicine | Rheumatology | Group - Single Specialty |