Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 213E00000X | Podiatrist | LPO121 | GA |
N | 222Z00000X | Podiatrist | LPO121 | GA |
N | 213E00000X | Podiatrist | ORT252 | TN |
N | 222Z00000X | Podiatrist | ORT252 | TN |
N | 224P00000X | Prosthetist | LPO121 | GA |
Y | 224P00000X | Prosthetist | PRO234 | TN |
NPI | 1073156261 |
---|---|
Provider Name | Christopher David Fink |
First Address | Chattanooga, TN 37406-3603 |
Second Address | Chattanooga, TN 37406-3603 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/10/2019 |
Last Update Date | 21/10/2019 |