Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207P00000X | Emergency Physician | 01039167A | IN |
Y | 207QH0002X | Family Doctor - Hospice and Palliative Medicine | 01039167A | IN |
NPI | 1538168539 |
---|---|
Provider Name | Dr. Christina C Drummond |
First Address | Fort Wayne, IN 46845-1701 |
Second Address | Fort Wayne, IN 46845-1701 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/07/2005 |
Last Update Date | 25/06/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
000000648244 | ANTHEM PIN (01) | IN |
100347400 | (05) | IN |
E84640 | (02) | IN |