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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1003004524 NPPES
Michigan Other 700H231390 BCBSM GROUP NUMBER

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