Provider Demographics
NPI:1871290668
Name:THOMAS, CHRISTOPHER PAUL
Entity type:Individual
Prefix:
First Name:CHRISTOPHER
Middle Name:PAUL
Last Name:THOMAS
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:800 SOUTHERN AVE SE APT 714
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20032-4825
Mailing Address - Country:US
Mailing Address - Phone:251-382-4538
Mailing Address - Fax:000-000-0000
Practice Address - Street 1:800 SOUTHERN AVE SE APT 714
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20032-4825
Practice Address - Country:US
Practice Address - Phone:251-382-4538
Practice Address - Fax:000-000-0000
Is Sole Proprietor?:Yes
Enumeration Date:2023-02-13
Last Update Date:2023-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide