Provider Demographics
NPI:1770695199
Name:HOLZAEPFEL, CHRISTOPHER DIXON (MD)
Entity type:Individual
Prefix:
First Name:CHRISTOPHER
Middle Name:DIXON
Last Name:HOLZAEPFEL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:560 N CLEVELAND AVE
Mailing Address - Street 2:
Mailing Address - City:WESTERVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:43082-9105
Mailing Address - Country:US
Mailing Address - Phone:614-839-2300
Mailing Address - Fax:614-839-2301
Practice Address - Street 1:560 N CLEVELAND AVE
Practice Address - Street 2:
Practice Address - City:WESTERVILLE
Practice Address - State:OH
Practice Address - Zip Code:43082-9105
Practice Address - Country:US
Practice Address - Phone:614-839-2300
Practice Address - Fax:614-839-2301
Is Sole Proprietor?:No
Enumeration Date:2006-08-31
Last Update Date:2012-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35-046587207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0536352Medicaid
200003656OtherMEDICARE RAILROAD ID
OH0536352Medicaid
200003656OtherMEDICARE RAILROAD ID