Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 213E00000X | Podiatrist | CPO04068 | |
N | 222Z00000X | Podiatrist | CPO04068 | |
Y | 224P00000X | Prosthetist | CPO04068 |
NPI | 1417572769 |
---|---|
Provider Name | Christine Huebner |
First Address | Chesapeake, VA 23320-3851 |
Second Address | Chesapeake, VA 23320-3851 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/06/2020 |
Last Update Date | 12/06/2020 |