Basic Information
Provider Information
NPI: 1962442178
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: GUY
FirstName: CHRISTINE
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: PA
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 249S 9TH ST
Address2:  
City: PITTSBURGH
State: PA
PostalCode: 152031265
CountryCode: US
TelephoneNumber: 4126973260
FaxNumber: 4126973263
Practice Location
Address1: 620 E OHIO ST
Address2:  
City: PITTSBURGH
State: PA
PostalCode: 152125620
CountryCode: US
TelephoneNumber: 4123214001
FaxNumber: 4123214063
Other Information
ProviderEnumerationDate: 06/07/2006
LastUpdateDate: 10/28/2015
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
363AM0700XMA001163LPAY Physician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical

No ID Information.


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