Cisneros, Christine Marie
Cisneros, Christine Marie is an sole proprietor health care provider with primary practice located at 700 E Beardsley Ave Ste 100, Elkhart IN 46514-3366. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neuromusculoskeletal Medicine & OMM, Allopathic & Osteopathic Physicians / Occupational Medicine. Allopathic & Osteopathic Physicians / Occupational Medicine is her primary health care specialty. Cisneros, Christine Marie can be contacted via phone (574) 206-8010.Contact Information
Primary practice address
700 E Beardsley Ave Ste 100
Elkhart IN 46514-3366
Phone: (574) 206-8010
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Neuromusculoskeletal Medicine & OMM | 204D00000X | 4301407270 | Michigan |
Allopathic & Osteopathic Physicians / Neuromusculoskeletal Medicine & OMM | 204D00000X | 036-108497 | Illinois |
Allopathic & Osteopathic Physicians / Occupational Medicine | 2083X0100X | 4301407270 | Michigan |
Profile Details
NPI number | 1003004524 |
---|---|
LBN Legal business name | Cisneros, Christine Marie |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Oct 10th, 2007 |
Last updated | Jul 29th, 2012 - about 12 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1003004524 | NPPES |
Michigan | Other | 700H231390 | BCBSM GROUP NUMBER |
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