| Doctor Name: | CHRISTOPHER FRUSHON |
| NPI Number: | 1215173117 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | R.D., L.D.N. |
| License Number: | DN004083 |
| Business Practice Address: | 12 Union St Pine Grove, PA - 179631424 |
| Business Phone Number: | 5707945007 |
| Business Fax Number: | 5709156525 |
| Mailing Address: | 12 Union St, PINE GROVE |
| State: | PA |
| Postal Code: | 179631424 |
| Phone Number: | 5707945007 |
| Fax Number: | 5709156525 |
| NPI Enumeration Date: | 12/23/2008 |
| NPI Last Update Date: | 08/26/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 133VN1006X |
| License Number: | DN004083 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | PA |
| Taxonomy Type: | Dietary & Nutritional Service Providers |
| Taxonomy Classification: | Dietitian, Registered |
| Taxonomy Specialization: | Nutrition, Metabolic |
| Taxonomy Definition: | |