National Provider Identifier
Christopher Deisenroth
Christopher Deisenroth is listed in the NPPES registry with a primary specialty of Student in an Organized Health Care Education/Training Program in Webster, NY and a listed phone number of (585) 794-6389.
Profile Overview
- NPI
- 1366983751
- Provider Type
- Individual
- Primary Specialty
- Student in an Organized Health Care Education/Training Program
- Enumeration Date
- March 17, 2017
- Last Updated
- March 17, 2017
Practice Location
- 929 Joylene Dr
- Webster, NY 14580-8931
Phone: (585) 794-6389
Mailing Address
- 929 Joylene Drive
- Webster, NY 14580
Specialties
- Student in an Organized Health Care Education/Training Program (390200000X)
- Athletic Trainer (2255A2300X)
Full Record
- NPI
- 1366983751
- Entity Type
- Individual
- Last Name
- Deisenroth
- First Name
- Christopher
- Mailing Street Address
- 929 Joylene Drive
- Mailing City
- Webster
- Mailing State
- NY
- Mailing ZIP Code
- 14580
- Mailing Country
- US
- Mailing Phone
- (585) 794-6389
- Practice Street Address
- 929 Joylene Dr
- Practice City
- Webster
- Practice State
- NY
- Practice ZIP Code
- 14580-8931
- Practice Country
- US
- Practice Phone
- (585) 794-6389
- Enumeration Date
- March 17, 2017
- Last Updated
- March 17, 2017
- Sex
- Male
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Student in an Organized Health Care Education/Training Program (390200000X), Athletic Trainer (2255A2300X)