Hawthorne, Christina M

Hawthorne, Christina M is an individual health care provider with primary practice located at 12255 De Paul Dr Ste 470, Bridgeton MO 63044-2510. She recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, which is considered as her primary health care specialty. Hawthorne, Christina M can be contacted via phone (314) 739-8863.

Contact Information

Primary practice address
12255 De Paul Dr Ste 470 Bridgeton MO 63044-2510
Phone: (314) 739-8863
Fax: (314) 739-6448
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X 000559 Missouri

Profile Details

NPI number 1093890055
LBN Legal business name Hawthorne, Christina M
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 26th, 2006
Last updated Dec 2nd, 2011 - about 15 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 1093890055 NPPES
Missouri Other 2700497 UHC
Missouri Other 49331 UHC
Missouri Other 1984900 UHC
Missouri MEDICAID 303231500 UHC
Missouri Other CK3051 UHC

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