Christie, Carl L.

Christie, Carl L. is an individual health care provider with primary practice located at 1415 Portland Ave Ste 220 , Rochester NY 14621. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, Allopathic & Osteopathic Physicians / Gynecologic Oncology. Allopathic & Osteopathic Physicians / Gynecologic Oncology is his primary health care specialty. Christie, Carl L. can be contacted via phone (585) 922-4496.

Contact Information

Primary practice address
1415 Portland Ave Ste 220 Rochester NY 14621
Phone: (585) 922-4496
Fax: (585) 922-4442
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 4267 Iowa
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X MB08459100 New Jersey
Allopathic & Osteopathic Physicians / Gynecologic Oncology 207VX0201X 309706 New York

Profile Details

NPI number 1023202769
LBN Legal business name Christie, Carl L.
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 5th, 2007
Last updated Jun 24th, 2021 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1023202769 NPPES
New Jersey Other 60043860 HORIZON NJ HEALTH
New Jersey Other 6642533/9141242 HORIZON NJ HEALTH
New Jersey Other P3944345 HORIZON NJ HEALTH
New Jersey Other 60043861 HORIZON NJ HEALTH
New Jersey Other 010046653 HORIZON NJ HEALTH
New Jersey Other 2141547 HORIZON NJ HEALTH
New Jersey MEDICAID 0175889 HORIZON NJ HEALTH

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