Root, Christopher R.

Root, Christopher R. is an individual health care provider with primary practice located at 401 Palmetto St Bert Fish Medical Center, New Smyrna FL 32168-7322. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Root, Christopher R. can be contacted via phone (386) 424-5025.

Contact Information

Primary practice address
401 Palmetto St Bert Fish Medical Center New Smyrna FL 32168-7322
Phone: (386) 424-5025
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X ARNP2738292 Florida

Profile Details

NPI number 1144295908
LBN Legal business name Root, Christopher R.
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 22nd, 2006
Last updated Jul 8th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1144295908 NPPES
Florida MEDICAID 303098900

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