Doctor Name: | CHRISTINE C ROHL |
NPI Number: | 1083668909 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 71001907A |
Business Practice Address: | 10010 Donald Powers Dr Munster, IN - 46321 |
Business Phone Number: | 2199344200 |
Business Fax Number: | 2199346240 |
Mailing Address: | Po Box 3539, MUNSTER |
State: | IN |
Postal Code: | 463210539 |
Phone Number: | 2199344200 |
Fax Number: | 2199346240 |
NPI Enumeration Date: | 05/22/2006 |
NPI Last Update Date: | 07/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 71001907A |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IN |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |