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:
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Health care specialties

SpecialtyCodeLicense #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 17 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 1750372116 NPPES
California Other P00211696 MEDICARE RAILROAD
California Other CC7486 MEDICARE RAILROAD
California Other PT0227380 MEDICARE RAILROAD

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