Provider Demographics
NPI:1225884968
Name:MASSEI, CHRISTOPHER STEPHEN IV
Entity type:Individual
Prefix:
First Name:CHRISTOPHER
Middle Name:STEPHEN
Last Name:MASSEI
Suffix:IV
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1120 N TAYLOR ST APT C
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:VA
Mailing Address - Zip Code:22201-5638
Mailing Address - Country:US
Mailing Address - Phone:540-222-8986
Mailing Address - Fax:
Practice Address - Street 1:2211 TOWN CENTER DR SE
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20020-4001
Practice Address - Country:US
Practice Address - Phone:571-622-0555
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-04-24
Last Update Date:2024-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide