Provider Demographics
NPI:1124618376
Name:EVERETT, CHRISTOPHER MARTIN (PA-C)
Entity type:Individual
Prefix:
First Name:CHRISTOPHER
Middle Name:MARTIN
Last Name:EVERETT
Suffix:
Gender:M
Credentials:PA-C
Other - Prefix:
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Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:3011 COLONIAL GARDEN RD
Mailing Address - Street 2:
Mailing Address - City:EVANSVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:47715-2108
Mailing Address - Country:US
Mailing Address - Phone:812-305-8928
Mailing Address - Fax:
Practice Address - Street 1:4000 TULIP TREE DRIVE
Practice Address - Street 2:INDUSTRIAL HEALTH SERVICES
Practice Address - City:PRINCETON
Practice Address - State:IN
Practice Address - Zip Code:47670
Practice Address - Country:US
Practice Address - Phone:812-387-2922
Practice Address - Fax:812-387-2045
Is Sole Proprietor?:No
Enumeration Date:2021-01-21
Last Update Date:2023-10-24
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
IL085.008883363A00000X
IN10003189A363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant