Jeffries, Christopher Carson

Jeffries, Christopher Carson is an individual health care provider with primary practice located at 4110 Copper Ridge Dr Suite 242, Traverse City MI 49684-6722. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Plastic Surgery. Allopathic & Osteopathic Physicians / Plastic Surgery is his primary health care specialty. Jeffries, Christopher Carson can be contacted via phone (231) 929-7700.

Contact Information

Primary practice address
4110 Copper Ridge Dr Suite 242 Traverse City MI 49684-6722
Fax: (231) 929-7709
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 4301080398 Michigan
Allopathic & Osteopathic Physicians / Plastic Surgery 208200000X 4301080398 Michigan

Profile Details

NPI number 1306003819
LBN Legal business name Jeffries, Christopher Carson
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 21st, 2008
Last updated Mar 1st, 2019 - about 6 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 1306003819 NPPES
Michigan MEDICAID 1306003819
Michigan Other 2402811442

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