Proctor, Christopher S
Proctor, Christopher S is an individual health care provider with primary practice located at 1139 3Rd St , South Lake Tahoe CA 96150-3465. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Proctor, Christopher S can be contacted via phone (530) 541-3100.Contact Information
Primary practice address
1139 3Rd St
South Lake Tahoe CA 96150-3465
Phone: (530) 541-3100
Fax: (530) 541-3016
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | PT22738 | California |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 1203 | Nevada |
Profile Details
| NPI number | 1750372116 |
|---|---|
| LBN Legal business name | Proctor, Christopher S |
| Credentials | Physical Therapist (PT) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 3rd, 2005 |
| Last updated | Nov 16th, 2007 - about 19 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 | 1750372116 | NPPES |
| California | Other | P00211696 | MEDICARE RAILROAD |
| California | Other | CC7486 | MEDICARE RAILROAD |
| California | Other | PT0227380 | MEDICARE RAILROAD |
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