Provider Demographics
NPI:1861760787
Name:MICHALOWSKI, CHRISTOPHER (CPO)
Entity type:Individual
Prefix:
First Name:CHRISTOPHER
Middle Name:
Last Name:MICHALOWSKI
Suffix:
Gender:M
Credentials:CPO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3601 CHICHESTER AVE
Mailing Address - Street 2:SUITE 108
Mailing Address - City:UPPER CHICHESTER
Mailing Address - State:PA
Mailing Address - Zip Code:19061-3149
Mailing Address - Country:US
Mailing Address - Phone:215-300-8873
Mailing Address - Fax:
Practice Address - Street 1:3601 CHICHESTER AVE
Practice Address - Street 2:SUITE 108
Practice Address - City:UPPER CHICHESTER
Practice Address - State:PA
Practice Address - Zip Code:19061-3149
Practice Address - Country:US
Practice Address - Phone:215-300-8873
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-12-06
Last Update Date:2011-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PACPO1938222Z00000X, 224P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224P00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersProsthetist
No222Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOrthotist