Provider Demographics
NPI:1336179720
Name:NIGHTINGALE, CHRISTOPHER JAMES (EDD ATC)
Entity type:Individual
Prefix:DR
First Name:CHRISTOPHER
Middle Name:JAMES
Last Name:NIGHTINGALE
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Gender:M
Credentials:EDD ATC
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Mailing Address - Street 1:200 HANCOCK ST
Mailing Address - Street 2:APARTMENT 1010
Mailing Address - City:BANGOR
Mailing Address - State:ME
Mailing Address - Zip Code:04401-6562
Mailing Address - Country:US
Mailing Address - Phone:207-307-7271
Mailing Address - Fax:207-581-1206
Practice Address - Street 1:5740 LENGYEL HALL UNIVERSITY OF MAINE
Practice Address - Street 2:ROOM 106
Practice Address - City:ORONO
Practice Address - State:ME
Practice Address - Zip Code:04469-5740
Practice Address - Country:US
Practice Address - Phone:207-581-2406
Practice Address - Fax:207-581-1206
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-03
Last Update Date:2014-07-22
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Provider Licenses
StateLicense IDTaxonomies
MEAT3082255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer