Provider Demographics
NPI:1194774869
Name:NEVERS, CHRISTOPHER S (DO)
Entity type:Individual
Prefix:
First Name:CHRISTOPHER
Middle Name:S
Last Name:NEVERS
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
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Mailing Address - Street 1:3590 BRECKENRIDGE CT
Mailing Address - Street 2:APT 21
Mailing Address - City:FITCHBURG
Mailing Address - State:WI
Mailing Address - Zip Code:53713-3672
Mailing Address - Country:US
Mailing Address - Phone:608-278-1138
Mailing Address - Fax:
Practice Address - Street 1:3590 BRECKENRIDGE CT
Practice Address - Street 2:APT 21
Practice Address - City:FITCHBURG
Practice Address - State:WI
Practice Address - Zip Code:53713-3672
Practice Address - Country:US
Practice Address - Phone:608-278-1138
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI464312084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry