Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 102L00000X | Psychologist | PS008585L | PA |
Y | 103T00000X | Psychologist | PS008585L | PA |
NPI | 1003976986 |
---|---|
Provider Name | Dr. Christopher J Ziegler |
First Address | Mechanicsburg, PA 17050-1925 |
Second Address | Mechanicsburg, PA 17050-1925 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 11/12/2006 |
Last Update Date | 20/07/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0017009800004 | (05) | PA |
974229 | HIGHMARK BLUE SHIELD (01) | PA |