Vandiver, Christopher Eric

Vandiver, Christopher Eric is an individual health care provider with primary practice located at 54 Hospital Dr , Osage Beach MO 65065-3050. He recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered. Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered is his primary health care specialty. Vandiver, Christopher Eric can be contacted via phone (573) 302-1661.

Contact Information

Primary practice address
54 Hospital Dr Osage Beach MO 65065-3050
Phone: (573) 302-1661
Fax: (573) 302-1719
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X RN9359099 Florida
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 2013037716 Missouri

Profile Details

NPI number 1023453289
LBN Legal business name Vandiver, Christopher Eric
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date May 1st, 2013
Last updated Mar 6th, 2014 - about 11 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 1023453289 NPPES
Missouri MEDICAID 1023453289

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