Basic Information
Provider Information
NPI: 1326332909
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: SAWYER
FirstName: CHRISTOPHER
MiddleName: A
NamePrefix:  
NameSuffix:  
Credential:  
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: PO BOX 7549
Address2:  
City: PORTSMOUTH
State: VA
PostalCode: 237070549
CountryCode: US
TelephoneNumber: 7576863508
FaxNumber: 7576860541
Practice Location
Address1: 4092 FOXWOOD DR
Address2: STE 101
City: VIRGINIA BEACH
State: VA
PostalCode: 234625225
CountryCode: US
TelephoneNumber: 7574674200
FaxNumber:  
Other Information
ProviderEnumerationDate: 06/01/2011
LastUpdateDate: 02/20/2015
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207P00000X0101255977VAY Allopathic & Osteopathic PhysiciansEmergency Medicine 
207PE0005X0101255977VAN Allopathic & Osteopathic PhysiciansEmergency MedicineUndersea and Hyperbaric Medicine

No ID Information.


Home